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General NPI Number Information
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NPI Number | 1477827707
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Entity Type | Organization
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Legal Business Name | ERICA STRIBLIN, LPC
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 210 E 2ND ST
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City | LUMBERTON
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State | NC
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Zip | 28358-5620
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Country | US
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Telephone | 910-738-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E 2ND ST
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City | LUMBERTON
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State | NC
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Zip | 28358-5620
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Country | US
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Telephone | 910-738-6767
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ERICA A STRIBLIN
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Credential | LPC
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Telephone | 910-374-7035
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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 | 8369
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License Number State | NC
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