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General NPI Number Information
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NPI Number | 1063878197
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Entity Type | Organization
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Legal Business Name | INTEGRATED BEHAVIORAL HEALTH SOLUTIONS PLLC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 610 SUMMIT AVE SUITE A
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City | GREENSBORO
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State | NC
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Zip | 27405-7742
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Country | US
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Telephone | 336-355-1120
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Fax | 844-273-1785
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Provider Business Mailing Address
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Address Line | 610 SUMMIT AVE SUITE A
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City | GREENSBORO
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State | NC
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Zip | 27405-7742
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Country | US
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Telephone | 336-355-1120
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Fax | 844-273-1785
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Authorized Official
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Title or Position | CEO
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Name | MS. SHARON E DEMPSEY
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Credential | LCSW
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Telephone | 336-681-2773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C008025
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License Number State | NC
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