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NPI 1659780575

NPI 1659780575 : JAMES FREDRICK BRITT MSW,LCSWA : LUMBERTON, NC

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General NPI Number Information
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    NPI Number           |    1659780575
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES FREDRICK BRITT MSW,LCSWA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2014
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    Last Update Date     |    08/05/2014
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Provider Practice Location Address
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    Address Line         |    1600 E 5TH ST 
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    City                 |    LUMBERTON
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    State                |    NC
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    Zip                  |    28358-6104
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    Country              |    US
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    Telephone            |    910-740-1701
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    Fax                  |    910-521-7827
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Provider Business Mailing Address
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    Address Line         |    1301 E 8TH ST 
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    City                 |    LUMBERTON
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    State                |    NC
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    Zip                  |    28358-5021
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    Country              |    US
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    Telephone            |    910-733-0969
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    Fax                  |    910-521-7287
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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       |    P008756
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    License Number State |    NC
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