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General NPI Number Information
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NPI Number | 1659726214
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Entity Type | Organization
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Legal Business Name | A CHANGE WITHIN PLLC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 250 NORTH TRADE STREET STE 203
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City | MATTHEWS
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State | NC
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Zip | 28105-5040
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Country | US
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Telephone | 704-841-9454
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Fax | 866-834-1817
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Provider Business Mailing Address
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Address Line | 250 NORTH TRADE STREET STE 203
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City | MATTHEWS
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State | NC
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Zip | 28105-5040
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Country | US
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Telephone | 704-841-9454
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Fax | 866-834-1817
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Authorized Official
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Title or Position | OWNER
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Name | MS. SARAH LYNN DEMAISON
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Credential | MSW, LCSW
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Telephone | 704-841-9454
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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 | C008246
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License Number State | NC
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