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General NPI Number Information
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NPI Number | 1912317249
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Entity Type | Individual
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Provider Name | BARBARA FAULK WILSON LPCA
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Gender | Female
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 230 W PENNSYLVANIA AVE STE A
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5431
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Country | US
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Telephone | 910-783-9590
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Fax | 910-295-9175
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Provider Business Mailing Address
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Address Line | 14 PINEHURST MNR APT A
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City | PINEHURST
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State | NC
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Zip | 28374-8212
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Country | US
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Telephone | 910-783-9590
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Fax | 910-295-9175
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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 | A10633
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License Number State | NC
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