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General NPI Number Information
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NPI Number | 1851021505
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Entity Type | Individual
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Provider Name | SALLIE RATCLIFFE EGGLESTON CRC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 4030 WAKE FOREST RD STE 206
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City | RALEIGH
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State | NC
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Zip | 27609-6800
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Country | US
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Telephone | 919-713-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 PEACHTREE PL NW
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City | WILSON
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State | NC
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Zip | 27896-2152
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Country | US
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Telephone | 980-333-8595
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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 | 17661
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License Number State | NC
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