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General NPI Number Information
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NPI Number | 1457920944
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Entity Type | Organization
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Legal Business Name | CBW CARE LLC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 315 EVANS ST STE 5
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City | GREENVILLE
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State | NC
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Zip | 27858-1832
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Country | US
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Telephone | 252-751-6379
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Fax | 252-364-3974
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Provider Business Mailing Address
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Address Line | 315 EVANS ST STE 5
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City | GREENVILLE
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State | NC
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Zip | 27858-1832
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Country | US
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Telephone | 252-814-1003
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MS. SHAMIKA DAWSON SHEPPARD
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Credential |
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Telephone | 252-751-6379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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