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General NPI Number Information
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NPI Number | 1548315195
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Entity Type | Individual
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Provider Name | LINDA J. FERGUSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 510 BRACKEN ST
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City | SANFORD
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State | NC
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Zip | 27330-3810
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Country | US
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Telephone | 919-777-0253
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Fax | 910-476-1135
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Provider Business Mailing Address
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Address Line | 510 BRACKEN ST
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City | SANFORD
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State | NC
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Zip | 27330-3810
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Country | US
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Telephone | 919-777-0253
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Fax | 910-476-1135
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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 | C006413
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License Number State | NC
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