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NPI 1235324054

NPI 1235324054 : PRECISION HEALTH CARE SERVICES, INC. : JACKSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1235324054
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION HEALTH CARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    09/14/2007
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    Last Update Date     |    01/25/2013
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Provider Practice Location Address
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    Address Line         |    165 CENTER ST 2ND FLOOR
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    City                 |    JACKSONVILLE
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    State                |    NC
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    Zip                  |    28546-5708
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    Country              |    US
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    Telephone            |    910-238-2744
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    Fax                  |    910-238-2755
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Provider Business Mailing Address
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    Address Line         |    311 4A JUDGES ROAD 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28405-3655
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    Country              |    US
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    Telephone            |    910-791-6767
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    Fax                  |    910-791-6890
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. ERINN M BEEKMAN 
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    Credential           |    
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    Telephone            |    888-311-1254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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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        |    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 #3
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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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