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General NPI Number Information
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NPI Number | 1649150962
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Entity Type | Individual
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Provider Name | EMILY JUDITH AVALOS
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 932 LINCOLNTON RD
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City | SALISBURY
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State | NC
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Zip | 28144-6140
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Country | US
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Telephone | 704-253-0250
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 BARNSWALLOW LN
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City | ROCKWELL
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State | NC
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Zip | 28138-7845
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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 |
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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 | A20573
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License Number State | NC
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