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General NPI Number Information
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NPI Number | 1013362284
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Entity Type | Organization
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Legal Business Name | BETTER COMMUNITIES
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 2149 VALLEYGATE DR STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3666
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Country | US
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Telephone | 800-420-8301
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Fax | 800-480-5850
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Provider Business Mailing Address
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Address Line | 6683 FOXBERRY RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1840
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Country | US
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Telephone | 910-584-7146
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | SHAREKA NACOLE KING
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Credential |
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Telephone | 910-584-7146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | P010024
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License Number State | NC
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