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General NPI Number Information
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NPI Number | 1497520761
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Entity Type | Individual
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Provider Name | OCTAVIA SAARI HENRY
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Gender | Female
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3333 COMMONWEALTH AVE
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City | CHARLOTTE
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State | NC
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Zip | 28205-6200
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Country | US
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Telephone | 704-550-4538
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 EAST BLVD STE 1513
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City | CHARLOTTE
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State | NC
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Zip | 28203-5870
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Country | US
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Telephone | 336-601-5422
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10482A
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License Number State | NC
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