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General NPI Number Information
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NPI Number | 1073224697
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Entity Type | Organization
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Legal Business Name | WHOLENESS
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 6324 BATTLEVIEW DR
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City | RALEIGH
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State | NC
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Zip | 27613-7148
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Country | US
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Telephone | 336-453-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 6324 BATTLEVIEW DR
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City | RALEIGH
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State | NC
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Zip | 27613-7148
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Country | US
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Telephone | 336-453-1080
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Fax |
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Authorized Official
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Title or Position | FOUNDER, PRESIDENT & CEO
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Name | MRS. LISA J LOWE-HALL
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Credential | MHA
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Telephone | 336-453-1080
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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