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General NPI Number Information
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NPI Number | 1982800355
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Entity Type | Individual
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Provider Name | PATRICIA JEAN TUOHY LPC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 302 E CHURCH ST
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City | BENSON
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State | NC
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Zip | 27504-1505
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Country | US
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Telephone | 919-701-1048
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WESTGATE CIRCLE
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City | ANGIER
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State | NC
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Zip | 27501-9002
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Country | US
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Telephone | 919-464-6568
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6634
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License Number State | NC
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