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General NPI Number Information
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NPI Number | 1316045818
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Entity Type | Organization
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Legal Business Name | EDGECOMBE NASH MENTAL HEALTH
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3007 N MAIN ST
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City | TARBORO
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State | NC
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Zip | 27886-1922
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Country | US
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Telephone | 252-937-8141
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Fax | 252-443-9574
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Provider Business Mailing Address
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Address Line | 500 NASH MEDICAL ARTS MALL
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-1417
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Country | US
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Telephone | 252-937-8141
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Fax | 252-443-9574
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Authorized Official
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Title or Position | FINANCE OFFICER
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Name | NANCY RACKLEY
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Credential |
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Telephone | 252-937-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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