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General NPI Number Information
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NPI Number | 1427915727
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Entity Type | Organization
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Legal Business Name | UPSTREAM THERAPY PLLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3333 DURHAM CHAPEL HILL BLVD STE A200
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City | DURHAM
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State | NC
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Zip | 27707-6238
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Country | US
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Telephone | 919-761-3137
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Fax |
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Provider Business Mailing Address
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Address Line | 227 MONMOUTH AVE
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City | DURHAM
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State | NC
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Zip | 27701-1907
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Country | US
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Telephone | 919-761-3137
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Fax |
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Authorized Official
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Title or Position | OUTPATIENT THERAPIST
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Name | JAMI E REGAN
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Credential | MA LCMHC
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Telephone | 919-761-3137
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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 |
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License Number State |
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