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General NPI Number Information
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NPI Number | 1841442753
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Entity Type | Organization
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Legal Business Name | DANDELION COVE
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 1290 E ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27858-7854
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Country | US
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Telephone | 252-320-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 MISTY PINES RD
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City | GREENVILLE
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State | NC
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Zip | 27858-9014
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Country | US
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Telephone | 252-320-8312
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MRS. N. KIM COVE
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Credential | LMFT
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Telephone | 252-320-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1251
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License Number State | NC
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