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General NPI Number Information
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NPI Number | 1477174464
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Entity Type | Organization
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Legal Business Name | OLIVER'S CONTRACTING, CONSULTING, & COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 4108 PARK RD STE 408
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City | CHARLOTTE
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State | NC
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Zip | 28209-2262
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Country | US
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Telephone | 704-576-5408
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Fax | 980-498-7005
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Provider Business Mailing Address
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Address Line | 4108 PARK RD STE 408
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City | CHARLOTTE
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State | NC
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Zip | 28209-2262
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR, OWNER
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Name | JANET OLIVER WHITE
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Credential | LCMHCS, LCAS, D.MIN
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Telephone | 704-576-5408
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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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