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General NPI Number Information
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NPI Number | 1720676547
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Entity Type | Organization
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Legal Business Name | RAFIA REBECK PLLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 512 CENTRAL AVE
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2004
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Country | US
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Telephone | 919-808-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 180 PROVIDENCE RD STE 1C
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2206
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Country | US
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Telephone | 919-808-5655
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH COUNSELOR
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Name | RAFIA REBECK
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Credential | MA, LCMHC
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Telephone | 919-808-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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