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General NPI Number Information
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NPI Number | 1265058234
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Entity Type | Organization
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Legal Business Name | TRANSCENDIA HEALTH SYSTEMS
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 3618 WAGON WHEEL RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-9512
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Country | US
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Telephone | 252-563-2817
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Fax | 252-303-5430
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Provider Business Mailing Address
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Address Line | 3618 WAGON WHEEL RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-9512
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Country | US
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Telephone | 252-563-2817
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Fax | 252-303-5430
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY L SHAW
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Credential |
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Telephone | 252-563-2817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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