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General NPI Number Information
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NPI Number | 1821030370
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Entity Type | Individual
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Provider Name | PAMELA LEWIS EPPERSON L.P.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 209 MILLSTONE DR STE A
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-8776
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Country | US
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Telephone | 919-245-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 4611 POWDER MILL RD
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City | CHAPEL HILL
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State | NC
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Zip | 27514-9546
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Country | US
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Telephone | 919-383-4146
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1070
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | NC1070
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License Number State | NC
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