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General NPI Number Information
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NPI Number | 1518212844
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Entity Type | Individual
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Provider Name | YVES MARVIN SAINT-CYR II LCSW, MSW
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Gender | Male
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 401 E WHITAKER MILL RD MONARCH
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City | RALEIGH
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State | NC
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Zip | 27608-2631
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Country | US
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Telephone | 800-230-7525
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Fax | 866-404-5622
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Provider Business Mailing Address
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Address Line | 350 PEE DEE AVE SUITE A
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City | ALBEMARLE
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State | NC
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Zip | 28001-4932
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Country | US
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Telephone | 800-230-7525
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Fax | 866-404-5622
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P006194
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License Number State | NC
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