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General NPI Number Information
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NPI Number | 1548461437
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Entity Type | Individual
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Provider Name | JOHN D. PIERCE NCLCMHCS, NCC, CSAT
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 7615 COLONY RD STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28226-0007
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Country | US
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Telephone | 704-365-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 BRIGHTMOOR RIDGE DR
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City | MATTHEWS
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State | NC
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Zip | 28105-2433
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Country | US
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Telephone | 704-841-9072
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3149
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License Number State | NC
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