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General NPI Number Information
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NPI Number | 1033355102
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Entity Type | Organization
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Legal Business Name | ALBEMARLE CASE MANAGEMENT ASSOCIATES
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Dates
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Enumeration Date | 12/19/2008
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 102 MEADS POOL RD
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-8737
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Country | US
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Telephone | 252-337-7171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 565
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City | ELIZABETH CITY
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State | NC
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Zip | 27907-0565
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Country | US
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Telephone | 252-339-9600
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Fax | 252-337-7173
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VICTOR KELSLEY
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Credential | QP
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Telephone | 252-339-9600
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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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