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General NPI Number Information
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NPI Number | 1164361846
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Entity Type | Organization
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Legal Business Name | EDWARDS GROUP HOME 6 INC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 710 W HARPER ST
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City | SNOW HILL
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State | NC
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Zip | 28580-1728
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Country | US
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Telephone | 252-747-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 295
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City | SNOW HILL
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State | NC
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Zip | 28580-0295
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | ALEXINE MCCOLLUM
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Credential |
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Telephone | 252-747-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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