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General NPI Number Information
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NPI Number | 1730204389
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Entity Type | Individual
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Provider Name | CONNIE N CRAIG MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 852 MERRIMON AVE
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City | ASHEVILLE
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State | NC
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Zip | 28804-2405
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Country | US
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Telephone | 828-251-6091
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Fax | 828-251-6911
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Provider Business Mailing Address
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Address Line | 23A TRILLIUM CT
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City | ASHEVILLE
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State | NC
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Zip | 28805-1357
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Country | US
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Telephone | 828-251-6091
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Fax | 828-251-6911
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C001805
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License Number State | NC
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