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General NPI Number Information
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NPI Number | 1104634047
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Entity Type | Organization
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Legal Business Name | TEAMS LLC
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 12923 PLUMLEAF DR
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City | CHARLOTTE
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State | NC
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Zip | 28213-4885
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Country | US
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Telephone | 980-230-1263
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W MAIN ST STE 316
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City | DURHAM
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State | NC
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Zip | 27701-3228
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Country | US
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Telephone | 980-230-1263
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JUDITHE LOUIS-INGRAM
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Credential |
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Telephone | 980-230-1263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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