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General NPI Number Information
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NPI Number | 1669356333
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Entity Type | Organization
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Legal Business Name | TENAVA HEALTH LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 216 ANGEL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-9006
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Country | US
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Telephone | 919-820-9288
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 FORESTVILLE RD STE 100
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City | RALEIGH
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State | NC
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Zip | 27616-8774
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Country | US
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Telephone | 919-820-9288
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TABATHA E. MOORE
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Credential | LCSW, LCAS
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Telephone | 919-931-3322
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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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