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General NPI Number Information
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NPI Number | 1679786347
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Entity Type | Organization
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Legal Business Name | THE ALTERNATIVE
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 407 W MAIN ST
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City | LEXINGTON
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State | SC
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Zip | 29072-2661
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Country | US
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Telephone | 803-951-3881
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Fax | 803-951-3880
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Provider Business Mailing Address
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Address Line | PO BOX 50467
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City | COLUMBIA
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State | SC
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Zip | 29250-0467
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Country | US
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Telephone | 803-951-3881
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ARNOLD WILSON EVANS
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Credential | CAC II
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Telephone | 803-951-3881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0309033
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License Number State | SC
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