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General NPI Number Information
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NPI Number | 1841841012
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Entity Type | Individual
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Provider Name | GALANA TENNILLE CHOOKOLINGO PHD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 644 HOLLY SPRINGS RD # 320
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9030
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Country | US
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Telephone | 510-424-5607
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 ILEAGNES RD
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City | RALEIGH
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State | NC
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Zip | 27603-2378
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Country | US
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Telephone | 510-424-5607
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 5377
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 30181
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License Number State | CA
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