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General NPI Number Information
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NPI Number | 1437581279
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Entity Type | Individual
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Provider Name | LETHA LUCINDA STROMAN LCASA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2013
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Last Update Date | 08/03/2013
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Provider Practice Location Address
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Address Line | 418 S SOUTH ST
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City | GASTONIA
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State | NC
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Zip | 28052-4380
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Country | US
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Telephone | 980-320-1058
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Fax | 704-887-5311
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Provider Business Mailing Address
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Address Line | 3010 FREIDA LN
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City | GASTONIA
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State | NC
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Zip | 28054-6464
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Country | US
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Telephone | 704-231-2483
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Fax | 185-587-3553
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2618-A
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License Number State | NC
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