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General NPI Number Information
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NPI Number | 1376680199
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Entity Type | Organization
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Legal Business Name | ATS OF NORTH CAROLINA, LLC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 3427 MELROSE RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1608
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Country | US
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Telephone | 910-864-8739
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Fax | 910-864-8222
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Provider Business Mailing Address
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Address Line | 6183 PASEO DEL NORTE STE 200
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City | CARLSBAD
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State | CA
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Zip | 92011-1155
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Country | US
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Telephone | 855-259-2288
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Fax | 877-552-0439
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Authorized Official
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Title or Position | VP & SECRETARY
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Name | BRIAN PHILLIP FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MHL-026-617
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License Number State | NC
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | MHL-026-617
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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