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General NPI Number Information
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NPI Number | 1497487979
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Entity Type | Individual
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Provider Name | JAMEE DIANNA POLLARD LCSWA
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Gender | Female
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 3240 BURNT MILL DR STE 1
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City | WILMINGTON
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State | NC
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Zip | 28403-2570
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Country | US
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Telephone | 910-790-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 5607 OLD GARDEN RD APT 209
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City | WILMINGTON
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State | NC
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Zip | 28403-4186
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Country | US
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Telephone | 910-619-9600
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PO17729
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License Number State | NC
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