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General NPI Number Information
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NPI Number | 1780829697
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Entity Type | Organization
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Legal Business Name | CHILDREN'S ADVOCACY CENTER OF CATAWBA COUNTY
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 4360 COUNTY HOME ROAD
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City | CONOVER
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State | NC
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Zip | 28613
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Country | US
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Telephone | 828-465-9296
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Fax | 828-256-7711
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Provider Business Mailing Address
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Address Line | 4360 COUNTY HOME ROAD
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City | CONOVER
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State | NC
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Zip | 28613
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Country | US
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Telephone | 828-465-9296
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Fax | 828-256-7711
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ADRIENNE OPDYKE
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Credential | EXECUTIVE DIRECTOR
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Telephone | 828-465-7665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1828
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License Number State | NC
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