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General NPI Number Information
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NPI Number | 1588118103
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Entity Type | Individual
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Provider Name | CARLA SALAZAR
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 120 W PENNSYLVANIA AVE STE 54
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5429
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Country | US
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Telephone | 910-390-0416
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Fax |
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Provider Business Mailing Address
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Address Line | 615 MUSCADINE LN
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City | ABERDEEN
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State | NC
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Zip | 28315-4554
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Country | US
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Telephone | 209-480-8173
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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 |
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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 | 99346
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License Number State | CA
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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 | C015380
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License Number State | NC
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