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General NPI Number Information
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NPI Number | 1063670651
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Entity Type | Organization
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Legal Business Name | D & L HEALTHCARE SERVICES
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 1116 QUAILMEADOW DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-5936
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Country | US
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Telephone | 910-864-4300
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Fax | 910-826-7649
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Provider Business Mailing Address
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Address Line | 1767 RIM RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-6018
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Country | US
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Telephone | 910-826-7649
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Fax | 910-826-7649
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MICHELLE D SMITH
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Credential |
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Telephone | 910-826-7649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL026849
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License Number State | NC
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