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General NPI Number Information
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NPI Number | 1912661588
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Entity Type | Organization
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Legal Business Name | EUNOIA HOLISTIC HEALING, PLLC
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 230 W MILLBROOK RD
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City | RALEIGH
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State | NC
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Zip | 27609-4304
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Country | US
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Telephone | 919-721-3152
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 E HONEY SPRINGS AVE
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-6933
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Country | US
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Telephone | 919-721-3152
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOTHERAPIST
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Name | AURORA DOWDY
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Credential | LCSW, LCAS
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Telephone | 919-721-3152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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