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General NPI Number Information
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NPI Number | 1366907024
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Entity Type | Organization
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Legal Business Name | REHOBETH FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 1805 MACK ST
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City | GREENSBORO
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State | NC
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Zip | 27406-4921
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Country | US
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Telephone | 336-908-2556
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Fax | 336-203-0660
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Provider Business Mailing Address
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Address Line | 1805 MACK ST
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City | GREENSBORO
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State | NC
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Zip | 27406-4921
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Country | US
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Telephone | 336-908-2556
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Fax | 336-203-0660
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Authorized Official
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Title or Position | PRESIDENT
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Name | TUNDE ADENOLA
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Credential | LPC
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Telephone | 336-908-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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