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General NPI Number Information
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NPI Number | 1609702281
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA RECOVERY NETWORK
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 2792 QUINN SAWMILL RD
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City | PINK HILL
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State | NC
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Zip | 28572-9523
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Country | US
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Telephone | 910-320-4688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 211
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City | PINK HILL
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State | NC
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Zip | 28572-0211
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Country | US
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Telephone | 910-320-4688
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON ROUSE RUIZ
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Credential |
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Telephone | 910-320-4688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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