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General NPI Number Information
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NPI Number | 1184200545
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Entity Type | Organization
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Legal Business Name | TOTAL REACCH, LLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 12/04/2022
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Provider Practice Location Address
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Address Line | 831 E PRITCHARD ST
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City | ASHEBORO
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State | NC
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Zip | 27203-4807
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Country | US
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Telephone | 336-963-3093
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Fax |
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Provider Business Mailing Address
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Address Line | 417 BROOKVIEW CIR
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City | RAMSEUR
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State | NC
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Zip | 27316-9514
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Country | US
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Telephone | 336-963-3093
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRENDA KELLY
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Credential |
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Telephone | 336-963-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health 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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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