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General NPI Number Information
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NPI Number | 1457651077
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Entity Type | Individual
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Provider Name | CARMELLA ROCHELLE CARTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2912 HIGHWOODS BLVD
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City | RALEIGH
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State | NC
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Zip | 27604
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Country | US
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Telephone | 800-699-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 105 TRACY LN
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City | DUNN
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State | NC
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Zip | 28334-3034
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Country | US
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Telephone | 703-626-5838
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C009743
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License Number State | NC
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