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General NPI Number Information
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NPI Number | 1417914722
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Entity Type | Organization
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Legal Business Name | ROBESON HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 210 S WALNUT ST
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City | FAIRMONT
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State | NC
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Zip | 28340-1956
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Country | US
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Telephone | 910-628-6711
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Fax | 910-628-5735
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Provider Business Mailing Address
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Address Line | 60 COMMERCE PLZ
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City | PEMBROKE
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State | NC
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Zip | 28372-7386
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Country | US
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Telephone | 910-521-2900
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Fax | 910-775-9165
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GEORGE TIMOTHY HALL
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Credential |
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Telephone | 910-521-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MHL-078-063
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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