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General NPI Number Information
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NPI Number | 1023700127
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Entity Type | Organization
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Legal Business Name | ARISE AND SHINE, INC.
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 309 WEST CAYUGA STREET
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City | CRYSTAL SPRINGS
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State | MS
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Zip | 39059
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Country | US
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Telephone | 601-308-5026
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Fax | 601-608-7790
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Provider Business Mailing Address
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Address Line | PO BOX 251
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City | TERRY
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State | MS
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Zip | 39170
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Country | US
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Telephone | 601-308-5026
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Fax | 601-608-7790
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | MR. CHRISTOPHER TAYLOR
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Credential |
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Telephone | 601-308-5026
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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