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General NPI Number Information
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NPI Number | 1124200704
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Entity Type | Organization
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Legal Business Name | HEALTHPLUS THERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 1724 CAROLINA AVE
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City | WASHINGTON
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State | NC
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Zip | 27889-3315
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Country | US
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Telephone | 252-946-9082
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Fax | 252-946-9319
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Provider Business Mailing Address
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Address Line | 211 N MARKET ST SUITE 200
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City | WASHINGTON
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State | NC
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Zip | 27889-4949
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Country | US
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Telephone | 252-948-0333
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Fax | 252-948-0933
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL LOWE
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Credential |
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Telephone | 910-670-0033
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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-007-066
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License Number State | NC
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