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General NPI Number Information
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NPI Number | 1275776569
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS THERAPY SERVICES
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 704 N LAFAYETTE ST APT 8
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City | SHELBY
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State | NC
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Zip | 28150-3857
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Country | US
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Telephone | 704-830-7840
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Fax |
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Provider Business Mailing Address
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Address Line | 704 N LAFAYETTE ST APT 8
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City | SHELBY
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State | NC
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Zip | 28150-3857
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Country | US
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Telephone | 704-830-7840
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | MS. VICTORIA FINNEY BREWTON
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Credential |
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Telephone | 704-734-7597
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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 | NC
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