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General NPI Number Information
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NPI Number | 1619425949
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Entity Type | Organization
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Legal Business Name | THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE TRIANGLE AREA, INC.
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 1603 HILLSBOROUGH ST
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City | RALEIGH
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State | NC
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Zip | 27605-1638
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Country | US
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Telephone | 919-832-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 801 CORPORATE CENTER DR SUITE 200
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City | RALEIGH
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State | NC
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Zip | 27607-5486
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Country | US
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Telephone | 919-719-9622
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Fax | 919-719-9634
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. BRYAN A HUFFMAN
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Credential |
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Telephone | 919-719-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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