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General NPI Number Information
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NPI Number | 1548821069
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Entity Type | Organization
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Legal Business Name | ASIC BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 2521 RAEFORD RD STE D
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5750
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Country | US
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Telephone | 910-672-6432
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Fax | 910-745-7907
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | HOPE MILLS
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State | NC
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Zip | 28348-0067
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Country | US
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Telephone | 910-672-6432
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Fax | 910-745-7907
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | DR. ADRIAN LENNON
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Credential | DNP, NP-C
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Telephone | 910-234-0208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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