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General NPI Number Information
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NPI Number | 1821077009
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Entity Type | Individual
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Provider Name | VALARIE MCCANTS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 103 FOUNTAINHEAD LN
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5462
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Country | US
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Telephone | 910-527-6318
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Fax | 910-485-8629
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Provider Business Mailing Address
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Address Line | PO BOX 58362
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-8362
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Country | US
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Telephone | 910-527-6318
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Fax | 910-485-8629
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C000406
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License Number State | NC
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