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General NPI Number Information
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NPI Number | 1720289846
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Entity Type | Individual
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Provider Name | DALE EMERSON KIRKLEY M.A.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 614 HOWARD ST STUDENT WELLNESS CENTER ASU
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City | BOONE
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State | NC
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Zip | 28607-6244
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Country | US
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Telephone | 828-262-3148
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Fax | 828-262-3182
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Provider Business Mailing Address
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Address Line | 180 MAPLE RIDGE DR
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City | BOONE
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State | NC
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Zip | 28607-8691
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Country | US
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Telephone | 828-265-0922
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Fax | 828-262-3182
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2074
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License Number State | NC
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