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General NPI Number Information
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NPI Number | 1124985858
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Entity Type | Organization
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Legal Business Name | PARENTS HELPING INTERCEDE IN THE LIVES OF ADOLESCENTS
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1 BUFFALO AVE NW STE 2207
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City | CONCORD
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State | NC
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Zip | 28025-4008
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Country | US
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Telephone | 704-450-0215
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Fax |
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Provider Business Mailing Address
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Address Line | 11 UNION ST S STE 208
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City | CONCORD
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State | NC
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Zip | 28025-1004
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Country | US
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Telephone | 704-450-0215
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID ALEXANDER LYDE
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Credential |
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Telephone | 704-450-0215
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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 |
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License Number State |
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