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General NPI Number Information
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NPI Number | 1407063308
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Entity Type | Organization
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Legal Business Name | CORPORATE HEALTH INTERNATIONAL INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4400 PARK RD 3RD FLOOR
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City | CHARLOTTE
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State | NC
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Zip | 28209-3139
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Country | US
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Telephone | 704-529-1428
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Fax | 704-529-5917
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Provider Business Mailing Address
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Address Line | 4400 PARK RD 3RD FLOOR
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City | CHARLOTTE
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State | NC
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Zip | 28209-3139
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Country | US
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Telephone | 704-529-1428
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Fax | 704-529-5917
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. JEANNINE I SHOOK
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Credential |
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Telephone | 704-529-1428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3399
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 837
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License Number State | NC
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