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General NPI Number Information
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NPI Number | 1225075674
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Entity Type | Organization
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Legal Business Name | NEW DIRECTIONS GROUP CARE MANAGEMENT
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 116 MEMORY PLZ
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City | WHITEVILLE
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State | NC
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Zip | 28472-2640
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Country | US
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Telephone | 910-640-1737
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Fax | 910-640-1703
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Provider Business Mailing Address
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Address Line | 116 MEMORY PLZ PO BOX 1442
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City | WHITEVILLE
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State | NC
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Zip | 28472-2640
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Country | US
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Telephone | 910-640-1737
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Fax | 910-640-1703
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Authorized Official
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Title or Position | BUSINESS MGR./ CO OWNER
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Name | MELODY JERNIGAN SPIVEY
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Credential |
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Telephone | 910-640-1737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC2950
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3408208
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License Number State | NC
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