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General NPI Number Information
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NPI Number | 1669529228
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Entity Type | Organization
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Legal Business Name | HERBERT REID HOME INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 3733 HERITAGE MEADOW LANE HERBERT REID HOME INC
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540
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Country | US
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Telephone | 919-961-1922
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Fax | 919-363-5312
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Provider Business Mailing Address
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Address Line | PO BOX 1057 HERBERT REID HOME INC
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540
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Country | US
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Telephone | 919-961-1922
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Fax | 919-363-5312
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERBERT REID
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Credential |
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Telephone | 919-961-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 092399
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License Number State | NC
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