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General NPI Number Information
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NPI Number | 1699652271
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Entity Type | Individual
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Provider Name | MICHAEL JAMES ANDERS LCSWA
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4002 SPRING GARDEN ST STE C
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City | GREENSBORO
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State | NC
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Zip | 27407-1626
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Country | US
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Telephone | 336-837-5852
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Fax |
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Provider Business Mailing Address
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Address Line | 174 PINECREST LN
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City | LEXINGTON
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State | NC
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Zip | 27292-9309
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Country | US
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Telephone | 336-837-5852
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P022669
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License Number State | NC
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