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General NPI Number Information
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NPI Number | 1285071431
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Entity Type | Organization
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Legal Business Name | OE ENTERPRISES, INCORPORATED
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 717 N PARK AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-2343
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Country | US
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Telephone | 336-513-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 717 N PARK AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-2343
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Country | US
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Telephone | 336-513-4300
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT PROGRAM SERVICES
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Name | DONNA MUSSON
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Credential |
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Telephone | 919-428-3683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | MHL001064
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License Number State | NC
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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 | MHL001064
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License Number State | NC
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