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General NPI Number Information
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NPI Number | 1073828950
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Entity Type | Organization
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Legal Business Name | VERTICAL HORIZON COMMUNITY SERVICES
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 318 W MILLBROOK RD STE 101
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City | RALEIGH
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State | NC
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Zip | 27609-4386
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Country | US
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Telephone | 919-424-7673
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Fax | 919-424-7879
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Provider Business Mailing Address
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Address Line | 318 W MILLBROOK RD STE 101
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City | RALEIGH
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State | NC
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Zip | 27609-4386
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Country | US
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Telephone | 919-424-7673
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Fax | 919-424-7879
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Authorized Official
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Title or Position | OWNER
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Name | DARNELL L. SYPHRETT
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Credential |
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Telephone | 919-638-6947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 135928
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License Number State | NC
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