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General NPI Number Information
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NPI Number | 1083332878
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Entity Type | Organization
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Legal Business Name | ACHIEVE BEHAVIORAL HEALTH GREENVILLE SOUTH CAROLINA PC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 142 MILESTONE WAY
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City | GREENVILLE
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State | SC
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Zip | 29615-5065
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Country | US
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Telephone | 864-991-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 142 MILESTONE WAY
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City | GREENVILLE
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State | SC
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Zip | 29615-5065
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Country | US
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Telephone | 864-991-8884
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY HARRIS
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Credential | MD
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Telephone | 864-991-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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