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General NPI Number Information
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NPI Number | 1134428873
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Entity Type | Organization
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Legal Business Name | TRANQUILITY
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 205B W HANOVER RD
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City | GRAHAM
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State | NC
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Zip | 27253-1723
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Country | US
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Telephone | 336-500-3245
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Fax | 336-449-9923
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Provider Business Mailing Address
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Address Line | 205B W HANOVER RD
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City | GRAHAM
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State | NC
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Zip | 27253-1723
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Country | US
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Telephone | 336-500-3245
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Fax | 336-449-9923
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GWENDOLYN GATSON TOWNSEND
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Credential |
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Telephone | 336-500-3245
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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 | NC
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