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General NPI Number Information
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NPI Number | 1487468070
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Entity Type | Individual
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Provider Name | ANNA VASSILION CHANEY M.ED., LPA, HSP-PA
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3040 BERKS WAY STE 103
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City | RALEIGH
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State | NC
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Zip | 27614-6620
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Country | US
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Telephone | 919-556-6501
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Fax |
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Provider Business Mailing Address
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Address Line | 540 GRANITE GROVE LOOP APT 207
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City | WAKE FOREST
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State | NC
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Zip | 27587-3777
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Country | US
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Telephone | 919-389-7474
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 6575
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License Number State | NC
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