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General NPI Number Information
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NPI Number | 1396989133
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Entity Type | Organization
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Legal Business Name | EAST CAROLINA UNIVERSITY
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | COLLEGE OF ALLIED HEALTH SCIENCES-ECU DARS - NAVIGATE COUNSELING CLINIC
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City | GREENVILLE
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State | NC
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Zip | 27858-4353
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Country | US
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Telephone | 252-744-6290
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Fax | 252-744-6311
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Provider Business Mailing Address
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Address Line | COLLEGE OF ALLIED HEALTH SCIENCES-ECU DARS - NAVIGATE COUNSELING CLINIC
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City | GREENVILLE
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State | NC
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Zip | 27858-4353
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Country | US
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Telephone | 252-744-6290
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Fax | 252-744-6311
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. WILLIAM L ATHERTON
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Credential | PHD, LCAS, LPC, CCS
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Telephone | 252-744-6290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-074-206
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License Number State | NC
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