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General NPI Number Information
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NPI Number | 1487814406
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Entity Type | Individual
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Provider Name | JAMES DOTSON RAPER PH.D., LPC-S
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1834 WAKE FOREST RD 118 REYNOLDA HALL
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City | WINSTON SALEM
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State | NC
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Zip | 27109-6000
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Country | US
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Telephone | 336-758-5273
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Fax | 336-758-1991
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Provider Business Mailing Address
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Address Line | PO BOX 7838 WAKE FOREST UNIVERSITY
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City | WINSTON-SALEM
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State | NC
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Zip | 27109-7838
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Country | US
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Telephone | 336-758-5273
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Fax | 336-758-1991
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | S4369
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License Number State | NC
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