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General NPI Number Information
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NPI Number | 1477683308
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Entity Type | Organization
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Legal Business Name | AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 2211-A EXECUTIVE STREET
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City | CHARLOTTE
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State | NC
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Zip | 28208-3655
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Country | US
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Telephone | 704-392-9220
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Fax | 704-392-9221
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Provider Business Mailing Address
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Address Line | 2211-A EXECUTIVE STREET
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City | CHARLOTTE
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State | NC
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Zip | 28208-3655
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Country | US
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Telephone | 704-392-9220
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Fax | 704-392-9221
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MARCY ALFORD
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Credential |
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Telephone | 704-392-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | MHL-060-908
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | MHL-060-468
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | MHL-060-166
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | MHL-060-167
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | MHL-060-118
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | MHL-060-514
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | MHL-060-350
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | MHL-060-231
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License Number State | NC
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