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General NPI Number Information
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NPI Number | 1851702856
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Entity Type | Individual
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Provider Name | EDDRENA C WIGGINS MSW
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3508 BULLARD ST
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City | HOPE MILLS
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State | NC
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Zip | 28348-1806
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Country | US
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Telephone | 833-846-3463
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 SAINT PAUL AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-5237
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Country | US
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Telephone | 910-551-1911
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P018586
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License Number State | NC
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