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General NPI Number Information
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NPI Number | 1275480022
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Entity Type | Organization
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Legal Business Name | EMBRACING DIVERSITY BEHAVIORAL HEALTH CLINIC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 9230 AUTUMN APPLAUSE DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-3603
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Country | US
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Telephone | 336-688-5500
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Fax | 336-307-2578
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Provider Business Mailing Address
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Address Line | 9230 AUTUMN APPLAUSE DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-3603
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Country | US
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Telephone | 336-688-5500
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Fax | 336-307-2578
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY BATTLE
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Credential |
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Telephone | 336-688-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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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 | 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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