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General NPI Number Information
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NPI Number | 1437596210
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Entity Type | Organization
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Legal Business Name | CENTER FOR BEHAVIORAL HEALTHCARE, PA
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 842 S COX ST
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City | ASHEBORO
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State | NC
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Zip | 27203-6470
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Country | US
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Telephone | 336-625-0303
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Fax | 336-625-0301
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Provider Business Mailing Address
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Address Line | 138 S STEELE ST SUITE P
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City | SANFORD
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State | NC
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Zip | 27330-4201
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Country | US
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Telephone | 919-776-0303
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Fax | 919-776-0377
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | LAURIE M. CONATY
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Credential | MSW, LCSW, LCAS
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Telephone | 919-776-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C00038
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License Number State | NC
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