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General NPI Number Information
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NPI Number | 1992794382
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Entity Type | Individual
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Provider Name | WILLIAM SCOTT CRAIG PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 270 COPPERFIELD BLVD NE SUITE 10
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City | CONCORD
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State | NC
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Zip | 28025-2442
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Country | US
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Telephone | 704-721-7430
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Fax | 704-721-7431
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Provider Business Mailing Address
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Address Line | PO BOX 71061
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City | CHARLOTTE
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State | NC
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Zip | 28272-1061
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Country | US
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Telephone | 704-721-7430
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Fax | 704-721-7431
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1641
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License Number State | NC
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