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General NPI Number Information
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NPI Number | 1669610150
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Entity Type | Organization
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Legal Business Name | LECHRIS HEALTH SYSTEMS OF WILMINGTON, INC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 14 S 16TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-4924
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Country | US
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Telephone | 910-254-7124
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Fax | 910-254-7128
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Provider Business Mailing Address
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Address Line | 57 OFFICE PARK DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7327
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Country | US
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Telephone | 910-577-8201
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Fax | 910-577-8270
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Authorized Official
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Title or Position | VP/CEO
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Name | MRS. SARAH H. SCHWARZ
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Credential | MS
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Telephone | 252-636-6105
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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 | PENDING
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License Number State |
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