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General NPI Number Information
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NPI Number | 1609300813
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Entity Type | Individual
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Provider Name | MARSHA ANN OPE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 4933 BULLS BAY CT
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City | PARKTON
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State | NC
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Zip | 28371-9160
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Country | US
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Telephone | 336-624-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 120 COBBLESTONE LN
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City | KING
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State | NC
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Zip | 27021-8244
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Country | US
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Telephone | 336-701-2585
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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 | C008423
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License Number State | NC
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