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General NPI Number Information
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NPI Number | 1316082274
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Entity Type | Organization
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Legal Business Name | ALLIANCE OF AIDS SERVICES - CAROLINA, INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 324 S HARRINGTON ST SUITE 101
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City | RALEIGH
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State | NC
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Zip | 27603-1847
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Country | US
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Telephone | 919-834-2437
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Fax | 919-834-3404
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Provider Business Mailing Address
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Address Line | PO BOX 12583
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City | RALEIGH
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State | NC
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Zip | 27605-2583
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Country | US
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Telephone | 919-834-2437
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Fax | 919-834-3404
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JACQUELYN M CLYMORE
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Credential | MS
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Telephone | 919-834-2437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL092014
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | FCL068016
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License Number State | NC
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