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General NPI Number Information
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NPI Number | 1578812392
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Entity Type | Individual
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Provider Name | MEGHAN RAE HOLLIFIELD LCSWA, LCASA
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Gender | Female
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 33 SHARON LYNNE WAY
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City | CLYDE
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State | NC
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Zip | 28721-8285
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Country | US
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Telephone | 828-452-1300
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Fax | 828-627-1307
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Provider Business Mailing Address
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Address Line | 102 WHITSON RD
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City | MARION
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State | NC
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Zip | 28752-9191
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Country | US
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Telephone | 828-442-1820
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Fax | 828-627-1307
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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 |
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License Number State |
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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 | P007480
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License Number State | NC
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