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General NPI Number Information
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NPI Number | 1467115311
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Entity Type | Organization
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Legal Business Name | BEST SELF COLLABORATIVE CARE
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 4030 WAKE FOREST RD STE 349
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City | RALEIGH
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State | NC
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Zip | 27609-0010
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Country | US
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Telephone | 855-523-7822
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Fax | 910-779-2416
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Provider Business Mailing Address
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Address Line | 439 WESTWOOD SHOPPING CTR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1532
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Country | US
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Telephone | 855-523-7822
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Fax | 910-779-2416
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DAESHA L PITTS
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Credential | CPB
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Telephone | 302-883-7787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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