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General NPI Number Information
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NPI Number | 1922269406
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Entity Type | Individual
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Provider Name | LAURIE MARGARET PERCIVAL OATES MA
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Gender | Female
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 577 GEORGE WILSON RD SUITE 4
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City | BOONE
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State | NC
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Zip | 28607-8612
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Country | US
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Telephone | 828-265-0102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | SUGAR GROVE
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State | NC
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Zip | 28679-0004
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Country | US
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Telephone | 828-265-0102
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Fax | 828-297-4995
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NCLPC2728
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License Number State | NC
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