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General NPI Number Information
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NPI Number | 1043522303
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Entity Type | Organization
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Legal Business Name | INSPIRE COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 2523 DRUID OAKS NE
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City | ATLANTA
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State | GA
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Zip | 30329-3295
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Country | US
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Telephone | 252-714-8788
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Fax |
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Provider Business Mailing Address
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Address Line | 3713 STILLWOOD DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-9063
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Country | US
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Telephone | 252-714-8788
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GROVER LEE BENTON JR.
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Credential |
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Telephone | 252-714-8788
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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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