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General NPI Number Information
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NPI Number | 1316085525
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Entity Type | Organization
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Legal Business Name | ALCOHOL AND DRUG SERVICES OF GUILFORD, INC.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 1101 CAROLINA ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1318
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Country | US
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Telephone | 336-333-6860
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Fax | 336-275-1187
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Provider Business Mailing Address
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Address Line | 1101 CAROLINA ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1318
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Country | US
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Telephone | 336-333-6860
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Fax | 336-275-1187
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. RONALD C. RAU JR.
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Credential | MBA
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Telephone | 336-882-2125
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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 | MHL-041-005
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License Number State | NC
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