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General NPI Number Information
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NPI Number | 1578476537
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Entity Type | Organization
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Legal Business Name | TRAIN UP A CHILD 316, LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1608 ROGERS POINTE LN
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City | CREEDMOOR
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State | NC
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Zip | 27522-8255
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Country | US
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Telephone | 216-543-0134
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Fax | 470-567-5815
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Provider Business Mailing Address
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Address Line | 3064 WAKE FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27609-7844
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Country | US
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Telephone | 216-543-0134
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Fax | 470-567-5815
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | THERESA HARVEY WILKERSON
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Credential |
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Telephone | 216-543-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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