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General NPI Number Information
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NPI Number | 1386339968
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Entity Type | Organization
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Legal Business Name | ADVANCED CHOICES, LLC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 489 US HIGHWAY 301
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City | GARYSBURG
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State | NC
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Zip | 27831-9611
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Country | US
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Telephone | 252-326-6732
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Fax |
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Provider Business Mailing Address
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Address Line | 489 US HIGHWAY 301
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City | GARYSBURG
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State | NC
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Zip | 27831-9611
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Country | US
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Telephone | 252-326-6732
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LESLIE GARNER
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Credential |
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Telephone | 525-788-1862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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