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General NPI Number Information
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NPI Number | 1689095226
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Entity Type | Organization
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Legal Business Name | SHAI COUNSELING SOLUTION, PLLC
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Dates
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Enumeration Date | 12/29/2013
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 9650 STRICKLAND RD SUITE 103-333
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City | RALEIGH
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State | NC
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Zip | 27615-1902
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Country | US
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Telephone | 828-773-1054
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Fax | 919-977-5757
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Provider Business Mailing Address
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Address Line | 9650 STRICKLAND RD SUITE 103-333
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City | RALEIGH
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State | NC
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Zip | 27615-1902
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Country | US
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Telephone | 828-773-1054
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Fax | 919-977-5757
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | JENNIFER LYNNE SHAI
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Credential | LCSW
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Telephone | 828-773-1054
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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 | C007440
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License Number State | NC
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