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General NPI Number Information
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NPI Number | 1477048981
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Entity Type | Individual
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Provider Name | BRIANNA JANAI KNOX LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 9311 JW CLAY BLVD STE A, #2009
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City | CHARLOTTE
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State | NC
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Zip | 28262
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Country | US
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Telephone | 980-288-4592
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Fax |
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Provider Business Mailing Address
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Address Line | 9311 JW CLAY BLVD STE A, #2009
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City | CHARLOTTE
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State | NC
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Zip | 28262
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Country | US
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Telephone | 980-288-4592
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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 | 0904014569
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C013357
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License Number State | NC
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