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General NPI Number Information
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NPI Number | 1689109654
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Entity Type | Organization
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Legal Business Name | ENDLESS ALTERNATIVES, PLLC
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 115 E HARDEN ST SUITE 103
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City | GRAHAM
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State | NC
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Zip | 27253-3001
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Country | US
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Telephone | 336-739-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E HARDEN ST
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City | GRAHAM
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State | NC
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Zip | 27253-3001
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Country | US
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Telephone | 336-739-2488
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SAFIYYAH N FEASTER
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Credential | LCSW
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Telephone | 336-739-2488
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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 | C008603
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License Number State | NC
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