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NPI 1104967504

NPI 1104967504 : L.I.F.E. CONCEPTS : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1104967504
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    Entity Type          |    Organization 
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    Legal Business Name  |    L.I.F.E. CONCEPTS 
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Dates
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    Enumeration Date     |    02/09/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2520 MURCHISON RD SUITE 5-A
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28301-3566
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    Country              |    US
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    Telephone            |    910-222-8901
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    Fax                  |    910-222-8910
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Provider Business Mailing Address
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    Address Line         |    2520 MURCHISON RD SUITE 5-A
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28301-3566
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    Country              |    US
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    Telephone            |    910-222-8901
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    Fax                  |    910-222-8910
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Authorized Official
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    Title or Position    |    ADMINSTRATOR
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    Name                 |    MR. ALFRED ANTHONY SPRIGGS 
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    Credential           |    CSAC
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    Telephone            |    910-222-8901
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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       |    MHL-026-710
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    MHL-026-710
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    License Number State |    NC
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