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General NPI Number Information
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NPI Number | 1639583784
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Entity Type | Individual
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Provider Name | TASHA PERRY BOONE MA, LPCA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 3216 ZEBULON RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2435
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Country | US
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Telephone | 252-985-3216
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Fax |
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Provider Business Mailing Address
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Address Line | 2332 REGES STORE RD
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City | NASHVILLE
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State | NC
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Zip | 27856-9610
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Country | US
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Telephone | 252-908-1579
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A10802
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License Number State | NC
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