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General NPI Number Information
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NPI Number | 1336727700
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Entity Type | Organization
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Legal Business Name | LAUNCH HEALTH SOLUTIONS, PLLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 715 E 5TH ST STE 214
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City | CHARLOTTE
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State | NC
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Zip | 28202-3001
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Country | US
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Telephone | 707-231-3191
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Fax | 888-617-8144
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Provider Business Mailing Address
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Address Line | 8115 SOLACE CT
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City | CHARLOTTE
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State | NC
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Zip | 28269-3214
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Country | US
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Telephone | 704-999-9620
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Fax | 888-617-8144
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. GRACE BLAKE-SMITH
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Credential |
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Telephone | 704-999-9620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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