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General NPI Number Information
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NPI Number | 1578845582
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Entity Type | Organization
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Legal Business Name | KV CONSULTANTS AND ASSOCIATES INC.
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 106 E 6TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-5509
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Country | US
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Telephone | 910-223-7114
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Fax | 910-223-0098
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Provider Business Mailing Address
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Address Line | PO BOX 943
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City | FAYETTEVILLE
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State | NC
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Zip | 28302-0943
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Country | US
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Telephone | 910-223-7114
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Fax | 910-223-0098
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. ELIZABETH L VASQUEZ
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Credential |
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Telephone | 910-223-7114
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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