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General NPI Number Information
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NPI Number | 1467176610
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE COUNSELING, PLLC
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 3305 16TH AVE SE STE 207A
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City | CONOVER
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State | NC
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Zip | 28613-9213
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Country | US
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Telephone | 828-228-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 4768 MEADOW LARK LN
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City | HICKORY
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State | NC
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Zip | 28602-9499
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Country | US
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Telephone | 828-228-2611
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELODY ANNAS
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Credential | LCMCHA
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Telephone | 828-228-2611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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