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General NPI Number Information
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NPI Number | 1619206000
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Entity Type | Organization
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Legal Business Name | A FAMILY'S POTENTIAL COUNSELING SERVICE, PLLC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 223 US HIGHWAY 70 E SUITE 130
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City | GARNER
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State | NC
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Zip | 27529-4071
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Country | US
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Telephone | 919-772-9371
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Fax | 919-779-6999
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Provider Business Mailing Address
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Address Line | 2329 BRASSTOWN LN
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City | APEX
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State | NC
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Zip | 27502-5799
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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 | OWNER
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Name | SHARON YAREM
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Credential |
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Telephone | 919-434-3064
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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 | C004099
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License Number State | NC
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