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General NPI Number Information
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NPI Number | 1093250094
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Entity Type | Organization
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Legal Business Name | AMERICARES HEALTH SERVICES LLC
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 400 FROYLE CT
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City | ROLESVILLE
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State | NC
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Zip | 27571-9584
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Country | US
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Telephone | 919-961-6086
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Fax |
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Provider Business Mailing Address
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Address Line | 400 FROYLE CT
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City | ROLESVILLE
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State | NC
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Zip | 27571-9584
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Country | US
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Telephone | 919-961-6086
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORENCE BOSE ADEMOLA
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Credential | MSW
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Telephone | 919-961-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NC
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