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General NPI Number Information
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NPI Number | 1710184171
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Entity Type | Organization
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Legal Business Name | PIEDMONT PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1622 E. NC HYWY 54
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City | DURHAM
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State | NC
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Zip | 27713
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Country | US
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Telephone | 919-967-3032
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Fax | 919-967-3496
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Provider Business Mailing Address
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Address Line | 253 SEMINOLE DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1920
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Country | US
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Telephone | 919-967-3032
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Fax | 919-967-3496
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | MR. HARRY COOKE READ
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Credential | LCSW
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Telephone | 919-967-3032
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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 | C004533
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License Number State | NC
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