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General NPI Number Information
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NPI Number | 1487943858
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Entity Type | Individual
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Provider Name | GALE BATTS SHIVER LCAS, CCS, SAP, MAC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 3219 LANDMARK ST STE 3A
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City | GREENVILLE
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State | NC
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Zip | 27834-7688
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Country | US
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Telephone | 252-215-3089
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Fax | 252-215-3089
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Provider Business Mailing Address
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Address Line | P.O. BOX 8211
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City | GREENVILLE
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State | NC
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Zip | 27835
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Country | US
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Telephone | 252-215-3089
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS3269
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License Number State | NC
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