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General NPI Number Information
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NPI Number | 1629907019
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Entity Type | Organization
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Legal Business Name | THE CARDINAL CONNECTION LLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 201 SMITH CIR
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City | STALLINGS
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State | NC
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Zip | 28104-4992
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Country | US
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Telephone | 844-771-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 227 W 4TH ST FL 1
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City | CHARLOTTE
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State | NC
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Zip | 28202-1545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SAMANTHA HEWETT
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Credential |
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Telephone | 561-252-9389
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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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