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General NPI Number Information
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NPI Number | 1740628924
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Entity Type | Individual
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Provider Name | CHRISTINE MCDONALD LPCS
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 314 W MILLBROOK RD STE 21
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City | RALEIGH
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State | NC
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Zip | 27609-4380
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Country | US
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Telephone | 919-618-6526
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Fax |
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Provider Business Mailing Address
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Address Line | 7785 FALCON REST CIR
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City | RALEIGH
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State | NC
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Zip | 27615-2553
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Country | US
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Telephone | 919-618-6526
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Fax |
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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 | A7801
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License Number State | NC
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