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General NPI Number Information
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NPI Number | 1598977621
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Entity Type | Organization
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Legal Business Name | TRIANGLE PSYCHOEDUCATIONAL CONSULTANTS
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3820 MERTON DRIVE SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27609
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Country | US
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Telephone | 919-789-8989
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Fax | 919-789-8988
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Provider Business Mailing Address
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Address Line | 3820 MERTON DRIVE SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27609
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Country | US
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Telephone | 919-789-8989
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Fax | 919-789-8988
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CHERYL FAYE STALLINGS
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Credential | PHD
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Telephone | 919-789-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2784
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License Number State | NC
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