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General NPI Number Information
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NPI Number | 1629122817
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Entity Type | Individual
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Provider Name | LAURIE ANN POWERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 201 S MCPHERSON CHURCH RD STE 233
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4995
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Country | US
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Telephone | 910-212-6548
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Fax | 910-460-3967
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Provider Business Mailing Address
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Address Line | 109 S CHURCHILL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5023
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Country | US
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Telephone | 910-322-1630
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Fax | 910-212-6548
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 101381
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 101381
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 101381
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License Number State | NC
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