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General NPI Number Information
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NPI Number | 1710167051
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Entity Type | Individual
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Provider Name | CAROL K. PULLEY M.A.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2007
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 189 SAMARITANS RIDGE RD
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City | ELKIN
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State | NC
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Zip | 28621-2472
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Country | US
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Telephone | 828-964-8790
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Fax | 888-544-6736
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Provider Business Mailing Address
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Address Line | PO BOX 56 50 MITCHELL RIVER RIDGE
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City | ROARING GAP
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State | NC
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Zip | 28668-0056
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Country | US
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Telephone | 828-964-8790
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Fax | 336-363-3202
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3453
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3453
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License Number State | NC
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