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General NPI Number Information
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NPI Number | 1508563131
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Entity Type | Organization
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Legal Business Name | NATIVE SOLUTIONS THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 707 UNION CHAPEL RD
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City | PEMBROKE
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State | NC
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Zip | 28372-8689
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Country | US
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Telephone | 910-785-2556
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Fax | 866-427-5310
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Provider Business Mailing Address
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Address Line | 168 BLAIR DR
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City | LUMBERTON
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State | NC
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Zip | 28360-1798
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Country | US
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Telephone | 910-827-5855
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Fax |
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Authorized Official
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Title or Position | OWNER, COUNSELOR
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Name | ELZETTER MARIA NORRIS
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Credential | MA ED, NCC, LCMHCA
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Telephone | 910-827-5585
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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 |
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