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NPI 1306480330

NPI 1306480330 : STRATEGIC INTERVENTIONS, LLC : BURLINGTON, NC

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General NPI Number Information
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    NPI Number           |    1306480330
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRATEGIC INTERVENTIONS, LLC 
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Dates
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    Enumeration Date     |    11/02/2019
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    Last Update Date     |    02/17/2020
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Provider Practice Location Address
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    Address Line         |    408 ALAMANCE RD STE D 
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    City                 |    BURLINGTON
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    State                |    NC
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    Zip                  |    27215-6178
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    Country              |    US
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    Telephone            |    828-659-3418
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    Fax                  |    828-575-0602
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Provider Business Mailing Address
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    Address Line         |    3100 HWY 226 S 
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    City                 |    MARION
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    State                |    NC
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    Zip                  |    28752-8741
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    Country              |    US
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    Telephone            |    828-655-3113
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    Fax                  |    828-559-0881
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Authorized Official
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    Title or Position    |    QUALITY MANAGEMENT TECHNICIAN
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    Name                 |     ASHLEY LORREN ESTES 
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    Credential           |    
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    Telephone            |    828-655-3113
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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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