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General NPI Number Information
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NPI Number | 1851681662
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Entity Type | Organization
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Legal Business Name | SHIGLEY COUNSELING CENTER
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 3717 NATIONAL DR STE 220
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City | RALEIGH
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State | NC
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Zip | 27612-4067
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Country | US
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Telephone | 919-909-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 NATIONAL DR STE 220
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City | RALEIGH
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State | NC
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Zip | 27612-4067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAL SHIGLEY
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Credential |
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Telephone | 919-909-2288
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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 | C006159
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 613
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License Number State | NC
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