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General NPI Number Information
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NPI Number | 1013272400
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA A&T STATE UNIVERSITY
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 913 BLUFORD ST CENTER FOR BEHAVIORAL HEALTH AND WELLNESS
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City | GREENSBORO
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State | NC
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Zip | 27401-3121
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Country | US
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Telephone | 336-285-2605
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Fax | 336-285-2607
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Provider Business Mailing Address
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Address Line | 913 BLUFORD STREET CENTER FOR BEHAVIORAL HEALTH AND WELLNESS
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City | GREENSBORO
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State | NC
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Zip | 27401-3121
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Country | US
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Telephone | 336-285-2605
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Fax | 336-285-2607
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Authorized Official
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Title or Position | BUSINESS AND FINANCE
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Name | ROBERT POMPEY JR.
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Credential |
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Telephone | 336-334-7587
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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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