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General NPI Number Information
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NPI Number | 1659652295
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Entity Type | Organization
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Legal Business Name | H&W ENTERPRISES OF NC
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1024 WELTON AVE
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City | RICHMOND
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State | VA
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Zip | 23224-3342
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Country | US
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Telephone | 804-230-4816
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Fax | 804-230-4816
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Provider Business Mailing Address
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Address Line | 1001 S MARSHALL ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-5852
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Country | US
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Telephone | 336-721-4262
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Fax | 336-721-4263
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | MR. JONATHAN HAGGLER
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Credential |
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Telephone | 336-721-4262
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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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