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General NPI Number Information
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NPI Number | 1457833493
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Entity Type | Individual
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Provider Name | JOHN-NELSON B POPE LPCS
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Gender | Male
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 1212 SPRUCE ST STE 315
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City | BELMONT
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State | NC
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Zip | 28012-3386
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Country | US
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Telephone | 704-461-8253
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Fax | 704-461-8267
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Provider Business Mailing Address
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Address Line | 1212 SPRUCE ST STE 315
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City | BELMONT
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State | NC
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Zip | 28012-3386
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Country | US
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Telephone | 704-461-8253
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Fax | 704-461-8267
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | S13249
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License Number State | NC
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