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General NPI Number Information
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NPI Number | 1306892385
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Entity Type | Organization
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Legal Business Name | ONEHEALTH BEHAVIORAL CARE INC.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 09/13/2008
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Provider Practice Location Address
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Address Line | 608 BURKE TRL
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City | THOMASVILLE
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State | NC
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Zip | 27360-2902
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Country | US
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Telephone | 336-472-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 608 BURKE TRL
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City | THOMASVILLE
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State | NC
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Zip | 27360-2902
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Country | US
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Telephone | 336-472-3500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & SOLE PRACTITIONER
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Name | DR. THOMAS EARL COLEMAN
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Credential | PHD
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Telephone | 336-472-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 101
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 635
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License Number State | NC
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