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General NPI Number Information
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NPI Number | 1326358540
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Entity Type | Organization
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Legal Business Name | GOODHOPE BEHAVIORAL HEALTHCARE SERVICES
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 4329 FERN CREEK DRIVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28314
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Country | US
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Telephone | 910-578-1500
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Fax | 910-920-3294
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Provider Business Mailing Address
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Address Line | 508A OWEN DRIVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28303
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Country | US
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Telephone | 910-578-1500
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Fax | 910-920-3294
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. EUGENIA EGONDU OHADUGHA
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Credential | LPC
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Telephone | 910-578-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5223
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License Number State | NC
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