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General NPI Number Information
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NPI Number | 1508902032
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Entity Type | Organization
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Legal Business Name | O'BERRY NEURO-MEDICAL TREATMENT CENTER
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 400 OLD SMITHFIELD ROAD
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City | GOLDSBORO
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State | NC
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Zip | 27530
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Country | US
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Telephone | 919-581-4000
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Fax | 919-581-4038
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Provider Business Mailing Address
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Address Line | 400 OLD SMITHFIELD ROAD
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City | GOLDSBORO
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State | NC
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Zip | 27530-8464
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Country | US
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Telephone | 919-581-4000
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Fax | 919-581-4038
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Authorized Official
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Title or Position | DIVISION DIRECTOR
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Name | KAREN BURKES
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Credential |
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Telephone | 919-855-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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