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General NPI Number Information
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NPI Number | 1154797033
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Entity Type | Organization
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Legal Business Name | ALPHA NEUROBEHAVIORAL CLINIC PLLC
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 2501 ONSLOW DR UNIT 100
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5751
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Country | US
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Telephone | 910-378-7669
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Fax | 910-939-2186
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Provider Business Mailing Address
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Address Line | 2501 ONSLOW DRIVE UNIT 100 - PO BOX 7284
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City | JACKSONVILLE
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State | NC
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Zip | 28540-2284
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Country | US
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Telephone | 910-378-7669
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Fax | 910-939-2186
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Authorized Official
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Title or Position | OWNER/CLINICAL NEUROPSYCHOLOGIST
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Name | DR. CARL ALAN STEED
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Credential | PHD
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Telephone | 910-378-7669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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