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General NPI Number Information
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NPI Number | 1447629514
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Entity Type | Organization
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Legal Business Name | ANCHORED INC.
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/19/2015
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Provider Practice Location Address
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Address Line | 138 CATINO FARMS LN
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City | JACKSONVILLE
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State | NC
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Zip | 28546
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Country | US
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Telephone | 910-467-4758
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Fax |
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Provider Business Mailing Address
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Address Line | 399 JOHNSON BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5426
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Country | US
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Telephone | 910-467-4758
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER ROBBINS
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Credential |
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Telephone | 910-467-4758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S5187
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License Number State | NC
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