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General NPI Number Information
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NPI Number | 1528635562
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Entity Type | Individual
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Provider Name | PIEREANGELLO CRUZ MSW, LCSW, LCAS
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Gender | Male
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 1011 DRESSER CT
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City | RALEIGH
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State | NC
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Zip | 27609-7323
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Country | US
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Telephone | 919-514-3566
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 FAIRWINDS DR
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City | GRAHAM
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State | NC
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Zip | 27253-9841
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Country | US
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Telephone | 919-360-4997
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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 | 27439
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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 | P016253
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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 | C016625
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License Number State | NC
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