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General NPI Number Information
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NPI Number | 1598301061
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Entity Type | Organization
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Legal Business Name | COAST TO COAST BILINGUAL COUNSELING
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 910 HOPE MILLS ROAD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304
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Country | US
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Telephone | 323-351-9074
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Fax |
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Provider Business Mailing Address
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Address Line | 550 NORTH ASHE STREET
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City | SOUTHERN PINES
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State | NC
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Zip | 28387
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Country | US
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Telephone | 323-351-9074
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Fax |
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | MRS. ELVIRA YANEZ
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Credential | LCSW
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Telephone | 323-351-9074
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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 |
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License Number State |
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