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General NPI Number Information
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NPI Number | 1487181236
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Entity Type | Individual
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Provider Name | SADIA UPRIGHT MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 124 E PLAZA DR STE C
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City | MOORESVILLE
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State | NC
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Zip | 28115-8103
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Country | US
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Telephone | 704-228-3775
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Fax | 800-708-8044
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Provider Business Mailing Address
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Address Line | 5501 EXECUTIVE CENTER DR STE 232
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City | CHARLOTTE
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State | NC
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Zip | 28212-8892
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Country | US
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Telephone | 980-875-8468
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9520
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 24294
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 13063
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13063
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License Number State | NC
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