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General NPI Number Information
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NPI Number | 1568826089
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Entity Type | Organization
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Legal Business Name | AT HOME COUNSELING SERVICES
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 6049 MULBERRY LN
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City | OXFORD
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State | NC
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Zip | 27565-5228
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Country | US
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Telephone | 919-260-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 6049 MULBERRY LN
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City | OXFORD
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State | NC
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Zip | 27565-5228
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Country | US
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Telephone | 919-964-2874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WALTER VINCENT
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Credential |
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Telephone | 919-906-7042
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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 | 20540
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License Number State | NC
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