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General NPI Number Information
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NPI Number | 1609100940
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Entity Type | Individual
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Provider Name | CARLA M ZERGER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 111 LAMON ST 212
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4901
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Country | US
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Telephone | 512-825-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 124 THORNCLIFF DR
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City | RAEFORD
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State | NC
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Zip | 28376-6544
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Country | US
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Telephone | 512-825-4460
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C008172
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License Number State | NC
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