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General NPI Number Information
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NPI Number | 1326371881
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Entity Type | Organization
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Legal Business Name | TRANSFORMING THERAPEUTIC INTENSIVE SERVICES
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 416 FOREST HILLS DRIVE
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City | HENDERSON
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State | NC
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Zip | 27537
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Country | US
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Telephone | 919-702-2870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11206
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City | WILMINGTON
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State | NC
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Zip | 28404-1206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SHARRON BRADSHAW
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Credential |
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Telephone | 919-702-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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