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General NPI Number Information
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NPI Number | 1780958124
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Entity Type | Organization
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Legal Business Name | A LOVING HAND COUNSELING SERVICE
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 116 S MAIN ST SUITE 106
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City | MOORESVILLE
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State | NC
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Zip | 28115-2373
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Country | US
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Telephone | 704-252-3619
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Fax | 704-660-8018
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Provider Business Mailing Address
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Address Line | 116 S MAIN ST SUITE 106
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City | MOORESVILLE
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State | NC
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Zip | 28115-2373
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Country | US
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Telephone | 704-252-3619
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Fax | 704-660-8018
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Authorized Official
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Title or Position | OWNER
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Name | KAREN T WATSON
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Credential | LCAS
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Telephone | 704-252-3619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1472
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License Number State | NC
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