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General NPI Number Information
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NPI Number | 1740233048
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Entity Type | Individual
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Provider Name | MARCA LYNN STOREY MBA, MA, NCC, LPC, L
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 341 CHARNDON VILLAGE COURT
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City | CHARLOTTE
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State | NC
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Zip | 28211-2683
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Country | US
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Telephone | 704-542-7970
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Fax | 704-532-3312
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Provider Business Mailing Address
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Address Line | 341 CHARNDON VILLAGE COURT
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City | CHARLOTTE
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State | NC
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Zip | 28211-2683
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Country | US
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Telephone | 704-542-7970
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Fax | 704-532-3312
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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 | 3405
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | NC
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