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General NPI Number Information
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NPI Number | 1538981642
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Entity Type | Organization
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Legal Business Name | CHANGEPOINT ASSESSMENTS
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1001 ANNA KNAPP EXT
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City | MT PLEASANT
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State | SC
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Zip | 29464-5412
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Country | US
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Telephone | 843-532-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 ANNA KNAPP EXT
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City | MT PLEASANT
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State | SC
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Zip | 29464-5412
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Country | US
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Telephone | 843-532-2222
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHO-ED SPECIALIST
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Name | TERESA FRY BURNETTE
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Credential | LPES
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Telephone | 843-532-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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