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General NPI Number Information
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NPI Number | 1629780093
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Entity Type | Organization
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Legal Business Name | ANOTHER CHOICE BEHAVIORAL HEALTH SERVICE
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 2307 BOLDEN CIR
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City | COLUMBIA
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State | SC
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Zip | 29204-1174
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Country | US
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Telephone | 704-777-6132
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 JOYCE DR
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City | CHARLOTTE
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State | NC
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Zip | 28215-2417
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Country | US
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Telephone | 980-213-9471
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYKESE ATKINS
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Credential |
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Telephone | 704-777-6132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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