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General NPI Number Information
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NPI Number | 1205010436
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Entity Type | Organization
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Legal Business Name | PARTNERSHIP FOR A DRUG FREE NC INC
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 318 TURNERSBURG HWY
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City | STATESVILLE
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State | NC
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Zip | 28625-2798
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Country | US
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Telephone | 704-881-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 665 W 4TH ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2701
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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 | CHIEF OPERATING OFFICER
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Name | JEFFREY MATKINS
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Credential |
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Telephone | 336-714-3367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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