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General NPI Number Information
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NPI Number | 1083961965
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Entity Type | Organization
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Legal Business Name | LECHRIS ADULT DAY CARE OF ROCKY MOUNT, INC.
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 308 S TILLERY ST
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-5870
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Country | US
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Telephone | 252-977-3085
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Fax |
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Provider Business Mailing Address
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Address Line | 1822 S GLENBURNIE RD STE.352
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City | NEW BERN
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State | NC
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Zip | 28562-5261
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Country | US
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Telephone | 252-636-6105
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SARAH H. SCHWARZ
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Credential | MS
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Telephone | 252-636-6105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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