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General NPI Number Information
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NPI Number | 1487042032
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALING AND WELLNESS PC
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 1025 E WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-6775
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Country | US
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Telephone | 336-987-0333
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Fax | 336-474-2438
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Provider Business Mailing Address
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Address Line | 1025 E WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-6775
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Country | US
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Telephone | 336-987-0333
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Fax | 336-474-2438
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Authorized Official
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Title or Position | COO
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Name | MR. DARRYL GERARD MCCARROLL
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Credential | MM
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Telephone | 336-987-0333
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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 |
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License Number State | NC
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