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General NPI Number Information
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NPI Number | 1689039992
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Entity Type | Organization
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Legal Business Name | LIFELINE TREATMENT CENTER
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 5710 OLEANDER DR STE 100
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City | WILMINGTON
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State | NC
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Zip | 28403
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Country | US
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Telephone | 888-600-5147
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Fax | 910-769-7173
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Provider Business Mailing Address
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Address Line | 5710 OLEANDER DR STE 100
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City | WILMINGTON
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State | NC
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Zip | 28403-4723
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Country | US
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Telephone | 888-600-5147
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Fax | 910-769-7173
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER LIND
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Credential |
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Telephone | 888-600-5147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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