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General NPI Number Information
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NPI Number | 1518121110
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Entity Type | Organization
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Legal Business Name | PARADIGM COUNSELING NC
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Dates
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Enumeration Date | 07/12/2008
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 374 RALEIGH ST
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9047
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Country | US
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Telephone | 919-601-9222
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Fax | 919-552-9918
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Provider Business Mailing Address
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Address Line | 7038 LANDINGHAM DR
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City | WILLOW SPRING
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State | NC
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Zip | 27592-8620
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Country | US
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Telephone | 330-671-2290
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Fax | 919-552-9918
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. RACHEL ANN LEAHY
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Credential |
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Telephone | 330-671-2290
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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 | 5364
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006764
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License Number State | NC
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