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General NPI Number Information
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NPI Number | 1659259943
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL KIDZ LLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 610 CHARLES RD
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City | SHELBY
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State | NC
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Zip | 28152-6316
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Country | US
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Telephone | 704-300-0093
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Fax | 704-270-9504
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Provider Business Mailing Address
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Address Line | 610 CHARLES RD
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City | SHELBY
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State | NC
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Zip | 28152-6316
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Country | US
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Telephone | 704-300-0093
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Fax | 704-270-9504
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL MOORE
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Credential |
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Telephone | 704-300-0093
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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