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General NPI Number Information
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NPI Number | 1407219876
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Entity Type | Organization
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Legal Business Name | LOUISE CENTER, INC.
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 139 TIMBERLAKE COURT
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City | SALISBURY
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State | NC
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Zip | 28147-0955
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Country | US
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Telephone | 704-680-7535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 955
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City | BELMONT
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State | NC
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Zip | 28012-0955
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Country | US
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Telephone | 704-680-7535
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBORAH DENISE LEE
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Credential | MSW, LCSW
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Telephone | 704-680-7535
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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 | C005199
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License Number State | NC
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