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General NPI Number Information
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NPI Number | 1093127359
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Entity Type | Organization
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Legal Business Name | HOUSE OF CAFRE, INC.
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 203 BLUE HERON DR
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-7674
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Country | US
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Telephone | 919-493-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 WESTGATE DR SUITE 303
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City | DURHAM
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State | NC
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Zip | 27707-2567
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OGO EMODI-ONWUKA
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Credential |
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Telephone | 919-493-6871
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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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