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General NPI Number Information
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NPI Number | 1508267030
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Entity Type | Individual
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Provider Name | CARMEN GIVENS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 1345 NC HIGHWAY 268
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City | LENOIR
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State | NC
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Zip | 28645-9027
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Country | US
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Telephone | 828-754-6850
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Fax |
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Provider Business Mailing Address
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Address Line | 114 24TH ST NW
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City | HICKORY
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State | NC
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Zip | 28601-5733
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Country | US
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Telephone | 828-461-8699
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-21138
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010509
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P009193
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License Number State | NC
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