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General NPI Number Information
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NPI Number | 1548274830
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Entity Type | Individual
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Provider Name | JULIE A DICKISON PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 415 N CENTER ST SUITE 003
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City | HICKORY
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State | NC
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Zip | 28601-5036
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Country | US
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Telephone | 828-315-5577
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Fax | 828-315-5950
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Provider Business Mailing Address
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Address Line | 415 NORTH CENTER STREET SUITE 003
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City | HICKORY
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State | NC
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Zip | 28601
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Country | US
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Telephone | 828-315-5577
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Fax | 828-315-5950
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2342 HSP-P
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2342
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2342 HSP-P
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2342
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 2342
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 2342 HSP-P
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 2342 HSP-P
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 2342
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License Number State | NC
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