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General NPI Number Information
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NPI Number | 1720469398
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Entity Type | Organization
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Legal Business Name | NATALIE JILL DUNN, LCSW, PLLC
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 3717 NATIONAL DR STE 203
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City | RALEIGH
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State | NC
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Zip | 27612-4877
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Country | US
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Telephone | 919-238-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 NATIONAL DR STE 203
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City | RALEIGH
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State | NC
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Zip | 27612-4877
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Country | US
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Telephone | 919-238-4400
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Fax |
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Authorized Official
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Title or Position | OWNER ORGANIZER MEMBER
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Name | NATALIE JILL DUNN
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Credential | LCSW
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Telephone | 919-408-7109
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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 | C005347
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License Number State | NC
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