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General NPI Number Information
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NPI Number | 1134933799
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Entity Type | Organization
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Legal Business Name | J.G. SPARROW BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1004 DRESSER CT STE 107
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City | RALEIGH
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State | NC
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Zip | 27609-7325
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Country | US
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Telephone | 919-618-3046
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Fax | 919-375-3972
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Provider Business Mailing Address
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Address Line | 1004 DRESSER CT STE 107
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City | RALEIGH
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State | NC
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Zip | 27609-7325
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Country | US
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Telephone | 919-618-3046
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Fax | 919-375-3972
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Authorized Official
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Title or Position | MEMBER-PRESIDENT
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Name | JESSICA SPARROW
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Credential |
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Telephone | 919-740-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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