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General NPI Number Information
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NPI Number | 1275874364
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Entity Type | Organization
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Legal Business Name | NO BOUNDS II
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 301 MCCULLOUGH DR STE 456
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City | CHARLOTTE
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State | NC
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Zip | 28262-3310
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Country | US
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Telephone | 704-258-6366
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Fax | 704-663-5053
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Provider Business Mailing Address
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Address Line | 10820 TRADITION VIEW DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1421
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Country | US
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Telephone | 704-258-6366
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Fax | 704-663-5053
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | VELDA SIMMONS
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Credential |
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Telephone | 704-258-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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 #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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