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General NPI Number Information
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NPI Number | 1487906236
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Entity Type | Individual
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Provider Name | SHIELA E LEE M.ED., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 1512 N GREENE ST
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City | GREENVILLE
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State | NC
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Zip | 27834-1221
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Country | US
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Telephone | 252-689-6006
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Fax |
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Provider Business Mailing Address
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Address Line | 732 E MAIN ST
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City | WINTERVILLE
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State | NC
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Zip | 28590-9654
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Country | US
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Telephone | 252-320-3130
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Fax | 252-355-0499
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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 | 3385
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License Number State | NC
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