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General NPI Number Information
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NPI Number | 1093948341
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Entity Type | Individual
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Provider Name | RONALD SHEDRICK CAPEL CARF
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Gender | Male
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 1007 E CASWELL ST
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City | WADESBORO
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State | NC
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Zip | 28170-2375
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Country | US
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Telephone | 704-994-2797
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Fax | 800-948-0651
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Provider Business Mailing Address
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Address Line | 1007 EAST CASWELL ST
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City | WADESBORO
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State | NC
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Zip | 28170-2375
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Country | US
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Telephone | 704-994-2797
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Fax | 800-948-0651
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health 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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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