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General NPI Number Information
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NPI Number | 1649066341
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Entity Type | Organization
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Legal Business Name | ALL VISION ENTERPRISES LLCS
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1021 FALLSTON RD
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City | SHELBY
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State | NC
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Zip | 28150-3543
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Country | US
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Telephone | 704-284-1112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 551212
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City | GASTONIA
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State | NC
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Zip | 28055-1212
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Country | US
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Telephone | 704-612-0096
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | TIM NASH
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Credential | DHSC
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Telephone | 704-612-0096
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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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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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