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General NPI Number Information
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NPI Number | 1598976599
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Entity Type | Organization
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Legal Business Name | WAYNE INITIATIVES FOR SCHOOL HEALTH
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 LIONEL ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-2931
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Country | US
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Telephone | 919-751-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 801 LIONEL ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-2931
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Country | US
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Telephone | 919-751-9120
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Fax |
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | KATIE BATTS
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Credential |
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Telephone | 919-751-9120
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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 | C001341
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License Number State | NC
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