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General NPI Number Information
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NPI Number | 1588701122
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Entity Type | Organization
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Legal Business Name | ESSENTIAL, INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 107 WEST HILL ST
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City | KENANSVILLE
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State | NC
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Zip | 28349
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Country | US
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Telephone | 910-296-9826
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Fax | 910-296-9827
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Provider Business Mailing Address
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Address Line | P O BOX 874
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City | KENANSVILLE
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State | NC
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Zip | 28349
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Country | US
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Telephone | 910-296-9826
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Fax | 910-296-9827
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Authorized Official
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Title or Position | CO OWNER
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Name | CYNTHIA WEBSTER
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Credential |
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Telephone | 910-289-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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