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General NPI Number Information
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NPI Number | 1851799233
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Entity Type | Organization
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Legal Business Name | OAK HEART COUNSELING PLLC
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 1057 BULLARD CT SUITE B
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City | RALEIGH
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State | NC
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Zip | 27615-6801
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Country | US
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Telephone | 919-855-1156
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Fax |
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Provider Business Mailing Address
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Address Line | 5405 ROYAL TROON DR
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City | RALEIGH
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State | NC
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Zip | 27604-5885
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Country | US
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Telephone | 919-841-2592
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSICA ANN FRAWLEY
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Credential | LCSW
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Telephone | 919-841-2592
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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 | C005987
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License Number State | NC
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