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NPI 1477714780

NPI 1477714780 : KAREN FREELAND SPERATI LCSW : KINSTON, NC

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General NPI Number Information
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    NPI Number           |    1477714780
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN FREELAND SPERATI LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/19/2008
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    Last Update Date     |    08/24/2011
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Provider Practice Location Address
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    Address Line         |    2901 N HERRITAGE ST STE B
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    City                 |    KINSTON
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    State                |    NC
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    Zip                  |    28501-1581
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    Country              |    US
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    Telephone            |    252-233-2383
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    Fax                  |    252-523-3148
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Provider Business Mailing Address
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    Address Line         |    2159 WOLF LN 
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    City                 |    KINSTON
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    State                |    NC
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    Zip                  |    28501-9702
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    Country              |    US
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    Telephone            |    919-389-0211
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    Fax                  |    252-208-0746
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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       |    C005984
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    License Number State |    NC
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