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NPI 1164528121

NPI 1164528121 : UMAR SERVICES, INC : HUNTERSVILLE, NC

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General NPI Number Information
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    NPI Number           |    1164528121
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    Entity Type          |    Organization 
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    Legal Business Name  |    UMAR SERVICES, INC 
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Dates
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    Enumeration Date     |    09/16/2006
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    Last Update Date     |    09/21/2017
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Provider Practice Location Address
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    Address Line         |    9800 KINCEY AVE SUITE 190
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    City                 |    HUNTERSVILLE
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    State                |    NC
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    Zip                  |    28078-8415
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    Country              |    US
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    Telephone            |    704-875-1328
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    Fax                  |    704-875-9276
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Provider Business Mailing Address
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    Address Line         |    5350 77 CENTER DR SUITE 201 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28217-2783
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    Country              |    US
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    Telephone            |    704-875-1328
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    Fax                  |    704-875-9276
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Authorized Official
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    Title or Position    |    CEO AND PRESIDENT
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    Name                 |     MARILYN  GARNER 
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    Credential           |    
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    Telephone            |    704-659-7630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities 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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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