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General NPI Number Information
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NPI Number | 1356297337
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Entity Type | Organization
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Legal Business Name | SOUTH LUMBERTON DEVELOPMENT ASSOCIATION INC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 5961 OLD LUMBERTON RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-5683
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Country | US
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Telephone | 800-804-6185
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Fax | 910-230-5722
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Provider Business Mailing Address
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Address Line | 5961 OLD LUMBERTON RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-5683
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Country | US
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Telephone | 800-804-6185
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Fax | 910-230-5722
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. AHMED MALACHI ABDEL AZIZ
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Credential |
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Telephone | 800-804-6185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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