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General NPI Number Information
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NPI Number | 1427470301
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Entity Type | Organization
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Legal Business Name | SANDHILLS COUNSELING ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 810 CHAPEL HILL RD
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City | SPRING LAKE
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State | NC
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Zip | 28390-2140
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Country | US
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Telephone | 910-916-7881
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Fax | 910-436-2070
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Provider Business Mailing Address
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Address Line | 49 GUILFORD CT
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City | SPRING LAKE
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State | NC
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Zip | 28390-7058
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Country | US
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Telephone | 910-987-6342
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Fax | 910-436-2070
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHAUNTEL M SUMMERS
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Credential | PHD
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Telephone | 910-916-7881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7412
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License Number State | NC
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