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General NPI Number Information
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NPI Number | 1255582532
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Entity Type | Organization
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Legal Business Name | SISTER'S ACT, INC.
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 1113 CARISSA CT
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-9319
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Country | US
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Telephone | 704-293-7799
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 CARISSA CT
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-9319
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Country | US
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Telephone | 704-293-7799
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | BARBARA A. SALTERS
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Credential |
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Telephone | 704-293-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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