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General NPI Number Information
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NPI Number | 1457485476
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CONCEPTS INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 2211 W MEADOWVIEW RD
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City | GREENSBORO
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State | NC
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Zip | 27407-3409
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Country | US
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Telephone | 336-688-6757
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1792
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City | HIGH POINT
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State | NC
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Zip | 27261-1792
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Country | US
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Telephone | 336-688-6757
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER BERNARD TOWNSEND
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Credential | LPC, LCAS, CCS, NCC
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Telephone | 336-688-6757
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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 | 3723
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License Number State | NC
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