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General NPI Number Information
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NPI Number | 1588957724
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Entity Type | Organization
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Legal Business Name | ZARLE THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 2440 COMMERCE ROAD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7560
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Country | US
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Telephone | 910-650-2227
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Fax | 901-401-1322
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Provider Business Mailing Address
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Address Line | 2444 COMMERCE ROAD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7560
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Country | US
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Telephone | 910-650-2227
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Fax | 910-346-2393
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Authorized Official
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Title or Position | CHIEF OPERATION OFFICER
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Name | MR. TERRANCE ALFRED LEVINE
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Credential | LPC, CCSOTS, NCC
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Telephone | 910-650-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6981
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License Number State | NC
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