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General NPI Number Information
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NPI Number | 1851275150
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Entity Type | Individual
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Provider Name | DEMETRICA MATHEWS LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3330 STONEY HILL CHURCH RD
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City | BAILEY
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State | NC
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Zip | 27807-9060
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Country | US
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Telephone | 919-703-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 WIDEWATERS PARKWAY, UNIT A, STE 135
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City | KNIGHTDALE
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State | NC
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Zip | 27545
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Country | US
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Telephone | 910-502-0729
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 01158
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License Number State | NC
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