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General NPI Number Information
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NPI Number | 1356279947
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Entity Type | Organization
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Legal Business Name | A GREATER STORY
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 409 W JACKSON ST
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City | RICH SQUARE
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State | NC
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Zip | 27869-9747
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Country | US
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Telephone | 252-287-1660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | RICH SQUARE
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State | NC
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Zip | 27869-0025
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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 | INCORPORATOR
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Name | TIARA DUKES
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Credential | PHARMD
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Telephone | 252-287-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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