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General NPI Number Information
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NPI Number | 1376604348
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Entity Type | Organization
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Legal Business Name | AMERICAN HUMAN SERVICES, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2021 EVETON LN
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City | SANFORD
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State | NC
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Zip | 27330-7204
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Country | US
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Telephone | 919-851-5114
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Fax | 919-851-5119
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Provider Business Mailing Address
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Address Line | 5520 MCNEELY DR SUITE 200
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City | RALEIGH
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State | NC
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Zip | 27612-7640
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Country | US
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Telephone | 919-851-5114
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Fax | 919-851-5119
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | TARA L. FIELDS
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Credential |
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Telephone | 919-851-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 053-038
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License Number State | NC
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