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General NPI Number Information
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NPI Number | 1689029969
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Entity Type | Individual
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Provider Name | SHARON LEE DMIN, LPCA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8522 SIX FORKS RD STE 104
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City | RALEIGH
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State | NC
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Zip | 27615-3098
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Country | US
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Telephone | 191-958-4507
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Fax | 919-584-5079
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Provider Business Mailing Address
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Address Line | 807 SOUTHSHORE PKWY
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City | DURHAM
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State | NC
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Zip | 27703-3944
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Country | US
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Telephone | 919-584-5079
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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 | A12339
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License Number State | NC
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