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General NPI Number Information
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NPI Number | 1346659901
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Entity Type | Organization
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Legal Business Name | HEALTHWISE STRATEGIES INC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 1857 TRYON DR UNIT 4 APT 4
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-6237
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Country | US
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Telephone | 910-336-2399
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Fax | 910-222-3195
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Provider Business Mailing Address
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Address Line | 1857 TRYON DR UNIT 4 APT 4
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-6237
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Country | US
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Telephone | 910-336-2399
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Fax | 910-222-3195
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONDREA JACKSON
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Credential |
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Telephone | 910-977-4987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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