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General NPI Number Information
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NPI Number | 1023244860
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Entity Type | Organization
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Legal Business Name | LIFE SOLUTIONS ATTENDING
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 120 S MAIN ST
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City | RED SPRINGS
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State | NC
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Zip | 28377-1512
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Country | US
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Telephone | 910-827-9524
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Fax |
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Provider Business Mailing Address
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Address Line | 2018 FORT BRAGG RD SUITE 114A
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-7037
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Country | US
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Telephone | 910-424-0500
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | MS. MARREA EVANS
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Credential |
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Telephone | 910-424-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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