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General NPI Number Information
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NPI Number | 1437942042
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Entity Type | Organization
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Legal Business Name | UJIMA COMMUNITY SERVICES, PLLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 7504 E INDEPENDENCE BLVD STE 109
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City | CHARLOTTE
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State | NC
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Zip | 28227-9454
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Country | US
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Telephone | 980-229-3824
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 HIGHWAY 160 W STE 101-311
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City | FORT MILL
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State | SC
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Zip | 29708-8009
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Country | US
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Telephone | 980-229-3824
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | WILLIAM JASPER
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Credential |
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Telephone | 980-229-3824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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