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General NPI Number Information
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NPI Number | 1770749921
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Entity Type | Organization
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Legal Business Name | PEOPLES THERAPY INC
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 102 TILGHMAN DR
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City | DUNN
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State | NC
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Zip | 28334-5533
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Country | US
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Telephone | 910-892-5839
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Fax | 910-892-5771
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Provider Business Mailing Address
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Address Line | 5809 CALEDONIA ST
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City | RALEIGH
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State | NC
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Zip | 27609-3621
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Country | US
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Telephone | 910-345-3457
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Fax | 919-787-3262
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. ANISSA DAWN PEOPLES
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Credential | MS
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Telephone | 919-345-7994
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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 | 6617
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License Number State | NC
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