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General NPI Number Information
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NPI Number | 1649392226
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Entity Type | Organization
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Legal Business Name | CUMBERLAND COUNTY SCHOOLS
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 6764 RAEFORD RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2771
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Country | US
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Telephone | 910-867-1762
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Fax |
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Provider Business Mailing Address
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Address Line | 1066 FRED HALL RD
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City | STEDMAN
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State | NC
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Zip | 28391-8404
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Country | US
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Telephone | 910-484-3017
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Fax |
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Authorized Official
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Title or Position | SCHOOL COUNSELOR
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Name | MRS. ELEANOR MARIA MONACO-KELLY
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Credential | M.ED.,NCC,LPC,NSCS
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Telephone | 910-867-1762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2286
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License Number State | NC
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