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General NPI Number Information
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NPI Number | 1114325347
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Entity Type | Organization
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Legal Business Name | ARIEL COMMUNITY CARE, LLC
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 200 E. CHURCH ST
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City | YANCEYVILLE
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State | NC
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Zip | 27379
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Country | US
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Telephone | 336-694-4147
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1471
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City | YANCEYVILLE
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State | NC
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Zip | 27379-1471
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Country | US
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Telephone | 336-694-4147
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | PIERRE PICKENS
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Credential |
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Telephone | 919-491-3302
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NC
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