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General NPI Number Information
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NPI Number | 1134400757
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Entity Type | Organization
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Legal Business Name | FOCUS BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 05/23/2017
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Provider Practice Location Address
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Address Line | 332 GREENHAVEN DR NW
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City | LENOIR
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State | NC
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Zip | 28645-3613
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Country | US
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Telephone | 828-439-8191
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Fax | 828-439-2588
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Provider Business Mailing Address
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Address Line | PO BOX 3624
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City | MORGANTON
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State | NC
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Zip | 28680-3624
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Country | US
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Telephone | 828-439-8191
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Fax | 828-439-2588
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. PAMELA J DOUGLAS
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Credential | RN
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Telephone | 828-439-8191
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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-014-085
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License Number State | NC
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