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General NPI Number Information
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NPI Number | 1588904304
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Entity Type | Organization
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Legal Business Name | STRATEGIC INTERVENTIONS, LLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 108 S BRAGG ST
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City | WARRENTON
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State | NC
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Zip | 27589
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Country | US
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Telephone | 828-659-3418
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Fax | 828-575-0602
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Provider Business Mailing Address
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Address Line | 3100 HWY 226 S
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City | MARION
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State | NC
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Zip | 28752-8741
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Country | US
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Telephone | 828-655-3113
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Fax | 828-559-0881
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Authorized Official
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Title or Position | QUALITY MANGEMENT TECHNICIAN
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Name | ASHLEY LORREN ESTES
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Credential |
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Telephone | 828-655-3113
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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 | NC
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