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General NPI Number Information
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NPI Number | 1437446929
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Entity Type | Organization
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Legal Business Name | WIND AND WATER, PLLC
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 20816 N MAIN ST SUITE 203
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City | CORNELIUS
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State | NC
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Zip | 28031-8468
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Country | US
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Telephone | 704-996-5680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 544
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City | DAVIDSON
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State | NC
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Zip | 28036-0544
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Country | US
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Telephone | 704-996-5680
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TAMMY R LITTLEJHON
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Credential | LMFT
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Telephone | 704-996-5680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | PLLC 2011-806
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License Number State | NC
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