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General NPI Number Information
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NPI Number | 1457919508
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Entity Type | Organization
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Legal Business Name | MORNING STAR TREATMENT CENTER
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 4017 BACHELOR CREEK RD
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City | ASHEBORO
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State | NC
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Zip | 27205-2142
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Country | US
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Telephone | 336-301-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 4017 BACHELOR CREEK RD
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City | ASHEBORO
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State | NC
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Zip | 27205-2142
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Country | US
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Telephone | 336-301-7140
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VICTORIA RICHARDS
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Credential |
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Telephone | 336-301-7140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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