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General NPI Number Information
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NPI Number | 1255734737
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Entity Type | Organization
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Legal Business Name | HIGHER ASPIRATION BEHAVIORAL HEALTH CARE LLC
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 5716 STARDUST DR
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City | DURHAM
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State | NC
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Zip | 27712-9540
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Country | US
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Telephone | 336-500-2403
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Fax |
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Provider Business Mailing Address
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Address Line | 6 KELLEY CT
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City | GREENSBORO
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State | NC
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Zip | 27401-4679
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DENZEL SESLEY
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Credential |
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Telephone | 336-500-2403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 39705969
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License Number State | NC
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