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General NPI Number Information
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NPI Number | 1871949131
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Entity Type | Individual
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Provider Name | JOSHUA DILIBERTO
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Gender | Male
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 10800 SIKES PL STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-8124
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Country | US
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Telephone | 704-996-2406
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Fax |
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Provider Business Mailing Address
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Address Line | 10800 SIKES PL STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-8124
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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 |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A12350
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License Number State | NC
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