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General NPI Number Information
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NPI Number | 1558696948
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Entity Type | Organization
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Legal Business Name | BIG HOLDINGS
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 807 W LEE ST
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City | GREENSBORO
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State | NC
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Zip | 27403-2831
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Country | US
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Telephone | 919-656-4005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21343
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City | DURHAM
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State | NC
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Zip | 27703-1343
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Country | US
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Telephone | 919-656-4005
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLAUDE VERBAL
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Credential |
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Telephone | 919-656-4005
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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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