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General NPI Number Information
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NPI Number | 1568522027
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH RESOURCES INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3622 HAWORTH DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27609-7219
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Country | US
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Telephone | 919-847-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 COPELAND OAKS DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6614
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Country | US
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Telephone | 919-465-3277
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Fax | 919-465-3222
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALFRED POTTER
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Credential |
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Telephone | 919-465-3277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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