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General NPI Number Information
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NPI Number | 1245425172
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Entity Type | Organization
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Legal Business Name | NEVER GIVE UP
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 200 E MCCULLOCH ST
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City | GREENSBORO
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State | NC
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Zip | 27406-1439
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Country | US
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Telephone | 336-574-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 303 TRAIL ONE
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City | BURLINGTON
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State | NC
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Zip | 27215-5535
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Country | US
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Telephone | 336-222-8610
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. ADRIAN T FUNCHESS
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Credential |
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Telephone | 336-574-2094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-041-840
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License Number State | NC
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