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General NPI Number Information
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NPI Number | 1306284112
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Entity Type | Organization
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Legal Business Name | INOVATIVE COMPLIANCE SOLUTIONS
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 111 BELMONT MOUNT HOLLY RD
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City | BELMONT
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State | NC
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Zip | 28012-2701
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Country | US
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Telephone | 704-874-1813
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Fax | 704-874-1803
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Provider Business Mailing Address
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Address Line | PO BOX 38514
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City | CHARLOTTE
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State | NC
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Zip | 28278-1009
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Country | US
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Telephone | 704-874-1813
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Fax | 704-874-1803
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Authorized Official
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Title or Position | OWNER
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Name | DESARETA JONES
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Credential | RN
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Telephone | 704-874-1813
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-023-185
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License Number State | NC
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