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General NPI Number Information
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NPI Number | 1154130581
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Entity Type | Organization
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Legal Business Name | ROADTRIP 2 RECOVERY, PLLC.
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 204 PRINCE STREET
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City | BELMONT
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State | NC
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Zip | 28012
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Country | US
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Telephone | 980-372-2709
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Fax | 980-495-8932
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Provider Business Mailing Address
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Address Line | 6414 W WILKINSON BLVD STE 1031
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City | BELMONT
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State | NC
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Zip | 28012-2858
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Country | US
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Telephone | 980-372-2709
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Fax | 980-495-8932
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE ANN HILL
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Credential | PMHNP
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Telephone | 980-372-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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