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General NPI Number Information
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NPI Number | 1013255223
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Entity Type | Organization
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Legal Business Name | THE EMBRACEMENT CENTER, LLC
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 101 S ELM ST STE 35
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City | GREENSBORO
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State | NC
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Zip | 27401-2698
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Country | US
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Telephone | 336-328-7821
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Fax |
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Provider Business Mailing Address
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Address Line | 321 BOYNE WAY
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City | WINTERVILLE
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State | NC
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Zip | 28590-8215
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Country | US
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Telephone | 336-328-7821
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TAMARA A HOLLOWAY
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Credential |
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Telephone | 336-328-7821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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