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General NPI Number Information
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NPI Number | 1013874940
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA MENTAL HEALTH AND PSYCHIATRY GROUP PC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1437 MILITARY CUTOFF RD STE 210
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City | WILMINGTON
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State | NC
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Zip | 28403-3638
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Country | US
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Telephone | 910-240-2489
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 ROCKSIDE RD STE 950
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City | INDEPENDENCE
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State | OH
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Zip | 44131-6814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | TRISTAN GORRINDO
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Credential | MD
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Telephone | 910-240-2489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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