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General NPI Number Information
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NPI Number | 1609914555
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Entity Type | Organization
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Legal Business Name | NC THERAPEUTIC SERVICES, INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6004 WHITE CHAPEL WAY
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City | GREENSBORO
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State | NC
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Zip | 27405-2773
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Country | US
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Telephone | 336-375-1185
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Fax | 336-272-2001
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Provider Business Mailing Address
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Address Line | 6004 WHITE CHAPEL WAY
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City | GREENSBORO
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State | NC
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Zip | 27405-2773
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Country | US
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Telephone | 336-375-1185
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Fax | 336-272-2001
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MS. ZAKIA A NESBITT
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Credential | LPC
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Telephone | 336-375-1185
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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 | 5164
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License Number State | NC
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