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General NPI Number Information
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NPI Number | 1194567461
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Entity Type | Organization
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Legal Business Name | B & D INTEGRATED HEALTH SERVICES EAST INC
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 307 E. BEECH STREET
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City | GOLDSBORO
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State | NC
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Zip | 27530-2818
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Country | US
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Telephone | 919-731-2119
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Fax | 919-739-4989
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Provider Business Mailing Address
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Address Line | 249 E. NC HIGHWAY 54 SUITE 320
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City | DURHAM
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State | NC
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Zip | 27713-2490
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Country | US
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Telephone | 919-907-3334
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Fax | 919-813-2269
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Authorized Official
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Title or Position | CEO
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Name | DR. LAUREN ELIZABETH DURANT
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Credential | PH.D.
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Telephone | 919-907-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 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 #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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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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