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General NPI Number Information
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NPI Number | 1750508669
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Entity Type | Individual
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Provider Name | JOHN JOSEPH CONNORS LPC
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 136 CARBONTON RD
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City | SANFORD
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State | NC
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Zip | 27330-4000
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Country | US
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Telephone | 704-561-0920
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2656
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City | SANFORD
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State | NC
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Zip | 27331-2656
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Country | US
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Telephone | 704-576-3221
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2637
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License Number State | NC
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