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General NPI Number Information
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NPI Number | 1396689816
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Entity Type | Organization
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Legal Business Name | ACADEMY1
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 429 PERSON ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5737
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Country | US
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Telephone | 910-401-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 429 PERSON ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EDUCATIONAL SPECIALIST
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Name | KARLISHIA ROSS
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Credential |
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Telephone | 910-401-8797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 364SS0200X
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Taxonomy Name | School Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #9
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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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