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General NPI Number Information
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NPI Number | 1619883428
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Entity Type | Individual
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Provider Name | MS. CANDICE TENEE HARRELL
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1477 NC 24-87
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City | CAMERON
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State | NC
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Zip | 28326-6752
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Country | US
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Telephone | 910-497-0073
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Fax |
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Provider Business Mailing Address
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Address Line | 57 COTTSWOLD LN
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City | SPRING LAKE
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State | NC
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Zip | 28390-7053
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Country | US
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Telephone | 910-203-2893
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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 |
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License Number State | NC
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