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General NPI Number Information
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NPI Number | 1033508288
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Entity Type | Organization
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Legal Business Name | INTEGRITY
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 3604 FERNANDINA RD
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City | COLUMBIA
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State | SC
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Zip | 29210-5221
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Country | US
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Telephone | 910-544-8343
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Fax |
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Provider Business Mailing Address
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Address Line | 181 GIN MILL RD
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City | HAMLET
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State | NC
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Zip | 28345-7279
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Country | US
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Telephone | 910-544-8343
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MICHELLE YVETTE ELLERBE
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Credential | MA, QMHP
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Telephone | 910-544-8343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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