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General NPI Number Information
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NPI Number | 1609182575
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTH CHOICE, INC.
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 4701 FAYETTEVILLE RD
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City | LUMBERTON
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State | NC
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Zip | 28358-2697
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Country | US
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Telephone | 910-738-3939
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Fax | 910-738-9799
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | SAINT PAULS
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State | NC
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Zip | 28384-0159
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ASHLEY LOCKLEAR
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Credential |
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Telephone | 910-865-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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