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General NPI Number Information
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NPI Number | 1225962848
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Entity Type | Organization
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Legal Business Name | WRAP 2 FACILILTATOR
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 415 CAROLINA SPRINGS BLVD
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City | APEX
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State | NC
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Zip | 27539-8017
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Country | US
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Telephone | 919-985-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 2949 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1248
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Country | US
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Telephone | 919-985-1220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LARRY LAMONT SMITH
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Credential | CPSS,WRAPFACILITATOR
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Telephone | 919-985-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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