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General NPI Number Information
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NPI Number | 1194912568
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Entity Type | Organization
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Legal Business Name | EL ROPHE CENTER, INC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 116 S. PROVIDENCE ST.
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City | WAXHAW
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State | NC
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Zip | 28173
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Country | US
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Telephone | 704-843-4818
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Fax | 704-843-5111
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Provider Business Mailing Address
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Address Line | PO BOX 327 116 S. PROVIDENCE ST.
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City | WAXHAW
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State | NC
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Zip | 28173-1044
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Country | US
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Telephone | 704-843-4818
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Fax | 704-843-5111
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Authorized Official
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Title or Position | DIRECTOR OF COUNSELING
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Name | DR. SIDNEY W. LANGSTON
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Credential | PH.D.
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Telephone | 704-843-4818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NC
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