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General NPI Number Information
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NPI Number | 1437326576
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Entity Type | Organization
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Legal Business Name | ENRICHED HEALTH SERVICES
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 240 GREENVILLE BLVD SW STE B
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City | GREENVILLE
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State | NC
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Zip | 27834-4656
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Country | US
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Telephone | 252-215-1186
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Fax | 252-215-1187
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Provider Business Mailing Address
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Address Line | 240 GREENVILLE BLVD SW STE B
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City | GREENVILLE
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State | NC
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Zip | 27834-4656
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Country | US
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Telephone | 252-215-1186
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Fax | 252-215-1187
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YOLANDA P BULLOCK-BLOUNT
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Credential |
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Telephone | 252-215-1186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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