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General NPI Number Information
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NPI Number | 1699666248
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Entity Type | Organization
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Legal Business Name | GSOPEACECORP
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 122 N ELM ST STE 1000
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City | GREENSBORO
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State | NC
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Zip | 27401-2836
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Country | US
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Telephone | 980-844-0238
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Fax |
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Provider Business Mailing Address
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Address Line | 122 N ELM ST STE 1000
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City | GREENSBORO
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State | NC
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Zip | 27401-2836
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Country | US
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Telephone | 980-844-0238
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/MENTOR COUNSELOR
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Name | MR. MICHAEL SOLOMON ONEAL
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Credential |
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Telephone | 980-844-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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