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General NPI Number Information
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NPI Number | 1881170017
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Entity Type | Organization
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Legal Business Name | ANB THERAPY, PLLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 7808 CAUSEWAY DR
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City | CHARLOTTE
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State | NC
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Zip | 28227-6788
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Country | US
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Telephone | 803-315-2516
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Fax |
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Provider Business Mailing Address
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Address Line | 11612 RETRIEVER WAY
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City | CHARLOTTE
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State | NC
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Zip | 28269-3406
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Country | US
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Telephone | 803-315-2516
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Fax |
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Authorized Official
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Title or Position | OWNER/ LCSW
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Name | ANASTASSHIA NATASHA BROWN
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Credential | MSW, LCSW
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Telephone | 803-315-2516
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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 | C001952
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License Number State | NC
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