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General NPI Number Information
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NPI Number | 1730116278
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Entity Type | Individual
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Provider Name | CARLA LUCIA M. ED. LPC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 4010 BARRETT DR STE 201
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City | RALEIGH
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State | NC
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Zip | 27609-6650
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Country | US
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Telephone | 919-345-6103
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Fax | 919-835-4322
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Provider Business Mailing Address
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Address Line | PO BOX 13006
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City | RALEIGH
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State | NC
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Zip | 27605-3006
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Country | US
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Telephone | 919-345-6103
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Fax | 919-835-4322
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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 | 3526
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License Number State | NC
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