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General NPI Number Information
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NPI Number | 1992430391
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Entity Type | Individual
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Provider Name | MRS. REBECCA ELIZABETH MEHALEK
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1400 WILLOW LN
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3551
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Country | US
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Telephone | 336-667-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 369 TROUT LAKE RD
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City | DEEP GAP
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State | NC
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Zip | 28618-9321
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Country | US
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Telephone | 215-820-9363
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MEHA-6XYJZM
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License Number State | NC
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