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General NPI Number Information
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NPI Number | 1598648016
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Entity Type | Individual
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Provider Name | MANI DEXTER LMFTA
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1513 WALNUT ST STE 215
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City | CARY
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State | NC
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Zip | 27511-5900
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Country | US
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Telephone | 919-909-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 TIMBER RIDGE DR
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City | RALEIGH
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State | NC
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Zip | 27609-4142
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20680A
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License Number State | NC
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