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General NPI Number Information
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NPI Number | 1689817645
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Entity Type | Organization
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Legal Business Name | LE CHRIS HEALTH SYSTEMS OF WILSON, INC
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 2707 WOOTEN BLVD SW STE. A
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City | WILSON
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State | NC
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Zip | 27893-4483
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Country | US
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Telephone | 252-243-2339
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Fax |
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Provider Business Mailing Address
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Address Line | 130 JONES RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2349
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Country | US
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Telephone | 252-451-1333
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Fax | 252-451-1558
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Authorized Official
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Title or Position | PRESIDENT
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NC9700116
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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