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General NPI Number Information
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NPI Number | 1346812369
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTH CARE SERVICES
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 2902B N HERRITAGE ST
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City | KINSTON
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State | NC
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Zip | 28501-1580
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Country | US
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Telephone | 252-327-0982
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Fax | 252-582-6020
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Provider Business Mailing Address
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Address Line | PO BOX 1282
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City | KINSTON
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State | NC
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Zip | 28503-1282
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Country | US
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Telephone | 252-327-0982
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Fax | 252-582-6020
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Authorized Official
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Title or Position | CEO
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Name | MR. COREY DANYALL LAWSON
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Credential | MPH
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Telephone | 252-327-0982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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