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General NPI Number Information
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NPI Number | 1538420310
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Entity Type | Individual
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Provider Name | CAROLINE MARY GINLEY P-LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 200 N GREENSBORO ST SUITE C-6
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City | CARRBORO
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State | NC
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Zip | 27510-1833
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Country | US
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Telephone | 919-218-1052
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Fax | 919-942-7379
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Provider Business Mailing Address
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Address Line | 200 N GREENSBORO ST SUITE C-6
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City | CARRBORO
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State | NC
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Zip | 27510-1833
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Country | US
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Telephone | 919-218-1052
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Fax | 919-942-7379
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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 | P005288
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License Number State | NC
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