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General NPI Number Information
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NPI Number | 1235353764
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Entity Type | Organization
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Legal Business Name | ALAMANCE REGIONAL HOSPITAL
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1238 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-7484
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Fax |
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Provider Business Mailing Address
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Address Line | 315 WENTWORTH CIR
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City | MEBANE
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State | NC
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Zip | 27302-7191
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Country | US
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Telephone | 919-304-5987
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Fax |
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Authorized Official
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Title or Position | LICENSED COUNSELOR
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Name | MRS. SHEVENE MOORE BRYANT
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Credential | NCC,LPC
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Telephone | 336-538-7484
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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 | 4557
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License Number State | NC
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