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General NPI Number Information
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NPI Number | 1275472003
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Entity Type | Organization
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Legal Business Name | ELECTRONIC HEALTH SYSTEMS INC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1015 CONFERENCE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-5969
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Country | US
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Telephone | 252-695-0269
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 CONFERENCE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-5969
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Country | US
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Telephone | 252-695-0269
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ONTARIO LAMONT CHAPPELL
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Credential |
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Telephone | 252-347-6455
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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