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General NPI Number Information
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NPI Number | 1689524324
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Entity Type | Individual
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Provider Name | LORI DICKENS MSN, PMHNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1100 NW MAYNARD RD STE 140
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City | CARY
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State | NC
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Zip | 27513-8707
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Country | US
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Telephone | 984-341-0531
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Fax | 919-704-3674
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Provider Business Mailing Address
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Address Line | 1217 BETHLEHEM RD
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City | KNIGHTDALE
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State | NC
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Zip | 27545-9325
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Country | US
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Telephone | 919-971-7386
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5023887
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License Number State | NC
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