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General NPI Number Information
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NPI Number | 1619613536
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Entity Type | Organization
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Legal Business Name | ALBERTA PROFESSIONAL SERVICES, INC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 3107 S ELM EUGENE ST STE A
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City | GREENSBORO
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State | NC
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Zip | 27406-5298
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Country | US
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Telephone | 336-273-2640
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Fax | 336-273-6522
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Provider Business Mailing Address
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Address Line | PO BOX 14884
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City | GREENSBORO
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State | NC
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Zip | 27415-4884
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Country | US
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Telephone | 336-273-2640
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Fax | 336-273-6522
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | TAMONIKA HARVEY
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Credential |
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Telephone | 336-273-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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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