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General NPI Number Information
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NPI Number | 1891297230
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Entity Type | Organization
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Legal Business Name | CPL COUNSELING & CONSULTING SERVICES
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 1016 W EHRINGHAUS ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4959
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Country | US
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Telephone | 252-384-8139
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Fax | 252-557-3549
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Provider Business Mailing Address
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Address Line | 1016 W EHRINGHAUS ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4959
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Country | US
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Telephone | 252-384-8139
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Fax | 252-557-3549
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | MS. STEPHANIE R PAGE
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Credential |
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Telephone | 252-384-8139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20639
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License Number State | NC
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