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NPI 1700622164

NPI 1700622164 : VANNETTE JAMES : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1700622164
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    Entity Type          |    Individual 
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    Provider Name        |    VANNETTE JAMES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2024
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    Last Update Date     |    11/19/2024
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Provider Practice Location Address
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    Address Line         |    8535 CLIFF CAMERON DRIVE SUITE 100
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28269-5909
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    Country              |    US
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    Telephone            |    704-717-7477
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    Fax                  |    704-717-7457
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Provider Business Mailing Address
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    Address Line         |    1221 RESOURCE DR APT 112 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28262-4706
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    Country              |    US
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    Telephone            |    
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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