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General NPI Number Information
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NPI Number | 1164961017
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Entity Type | Organization
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Legal Business Name | GREENBROOK TMS CHAPEL HILL LLC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 55 VILCOM CENTER DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1689
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Country | US
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Telephone | 855-910-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 8405 GREENSBORO DR SUITE 120
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City | MC LEAN
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State | VA
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Zip | 22102-5104
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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 | REGIONAL MANAGER
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Name | NICOLE E LOWRY
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Credential |
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Telephone | 855-910-4867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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