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General NPI Number Information
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NPI Number | 1316495369
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Entity Type | Organization
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Legal Business Name | GUIDING STAR HEALTH CARE TWO, INC.
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 1564 SPRINGBROOK DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-3562
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Country | US
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Telephone | 252-314-4444
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Fax | 252-557-4810
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Provider Business Mailing Address
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Address Line | 1564 SPRINGBROOK DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-3562
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Country | US
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Telephone | 252-314-4444
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Fax | 252-557-4810
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MR. WARREN HENRY HARPER
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Credential |
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Telephone | 252-314-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | FCL033014
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License Number State | NC
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