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General NPI Number Information
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NPI Number | 1952340614
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Entity Type | Individual
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Provider Name | MARGARET C ERVIN LCSW, BCD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 210 STONEBRIDGE SQ
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City | HAVELOCK
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State | NC
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Zip | 28532-9505
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Country | US
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Telephone | 252-636-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BARKSIDE LN
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City | NEW BERN
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State | NC
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Zip | 28562-8541
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Country | US
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Telephone | 252-633-1965
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C002592
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License Number State | NC
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