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General NPI Number Information
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NPI Number | 1770148751
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Entity Type | Organization
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Legal Business Name | PERSONAL ENRICHMENT COUNSELING & CONSULTING SERVICES, PLLC
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 10130 MALLARD CREEK RD STE 320
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City | CHARLOTTE
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State | NC
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Zip | 28262-6001
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Country | US
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Telephone | 704-968-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 10130 MALLARD CREEK RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28262-6001
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Country | US
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Telephone | 704-968-2253
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DELORES HAMILTON-BUTLER
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Credential | PH.D
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Telephone | 704-968-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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