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General NPI Number Information
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NPI Number | 1417088279
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Entity Type | Organization
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Legal Business Name | BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 1534 W 5TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-4108
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Country | US
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Telephone | 252-946-0151
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Fax | 252-946-9783
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Provider Business Mailing Address
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Address Line | 1534 W 5TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-4108
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Country | US
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Telephone | 252-946-0151
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Fax | 252-946-9783
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Authorized Official
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Title or Position | COO
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Name | MRS. ELENA GILMORE CAMERON
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Credential |
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Telephone | 252-946-0151
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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 | MHL007002
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | MHL007002
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | MHL007002
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License Number State | NC
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