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General NPI Number Information
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NPI Number | 1023131711
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Entity Type | Organization
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Legal Business Name | ALAMANCE CASWELL AREA MH DD SA AREA AUTHORITY
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 319 N GRAHAM HOPEDALE RD SUITE A
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City | BURLINGTON
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State | NC
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Zip | 27217-2992
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Country | US
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Telephone | 336-513-4200
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Fax | 336-513-4379
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Provider Business Mailing Address
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Address Line | 319 N GRAHAM HOPEDALE RD SUITE A
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City | BURLINGTON
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State | NC
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Zip | 27217-2992
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Country | US
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Telephone | 336-513-4200
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Fax | 336-513-4379
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Authorized Official
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Title or Position | REIMBURSEMENT OFFICER
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Name | MR. CLAYRON BRYAN MCCAIN
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Credential |
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Telephone | 336-513-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MHL001056
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License Number State | NC
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