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General NPI Number Information
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NPI Number | 1821817677
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Entity Type | Individual
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Provider Name | MS. KANESHA LAVETTE MCFARLIN
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Gender | Female
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 236 N MEBANE ST STE 125
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City | BURLINGTON
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State | NC
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Zip | 27217-3957
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Country | US
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Telephone | 919-656-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 4944 PLANTATION DR
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City | BATTLEBORO
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State | NC
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Zip | 27809-8806
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Country | US
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Telephone | 678-274-9690
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021272
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License Number State | NC
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