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General NPI Number Information
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NPI Number | 1497678437
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Entity Type | Organization
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Legal Business Name | STEADFAST HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA PC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3824 BARRETT DR STE 310
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City | RALEIGH
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State | NC
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Zip | 27609-7220
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Country | US
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Telephone | 866-935-0936
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 BARRETT DR STE 310
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City | RALEIGH
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State | NC
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Zip | 27609-7220
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | DAVIS STEPHEN
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Credential |
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Telephone | 479-422-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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