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General NPI Number Information
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NPI Number | 1154829869
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Entity Type | Organization
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Legal Business Name | ADVOCATES FOR CHANGE LLC
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Dates
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Enumeration Date | 01/28/2018
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Last Update Date | 01/28/2018
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Provider Practice Location Address
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Address Line | 3127 MANHASSET LN
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City | RALEIGH
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State | NC
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Zip | 27604-3499
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Country | US
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Telephone | 910-471-5672
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Fax | 919-803-7465
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Provider Business Mailing Address
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Address Line | 2777 BRENTWOOD RD UNIT 40248
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City | RALEIGH
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State | NC
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Zip | 27629-0823
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Country | US
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Telephone | 910-471-5672
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Fax | 919-803-7465
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Authorized Official
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Title or Position | REGISTERED GUARDIAN
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Name | MS. KE'PE D HARRISON
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Credential |
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Telephone | 910-471-5672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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