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General NPI Number Information
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NPI Number | 1508379421
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Entity Type | Organization
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Legal Business Name | SANTE COUNSELING
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 208 E BESSEMER AVE
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City | GREENSBORO
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State | NC
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Zip | 27401-6320
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Country | US
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Telephone | 336-707-3960
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Fax |
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Provider Business Mailing Address
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Address Line | 208 E BESSEMER AVE
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City | GREENSBORO
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State | NC
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Zip | 27401-6320
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Country | US
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Telephone | 336-707-3960
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. TOMMI ALYSE PAIT
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Credential | MS, LPC, CRC
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Telephone | 336-707-3960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 11174
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License Number State | NC
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