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General NPI Number Information
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NPI Number | 1700721586
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Entity Type | Organization
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Legal Business Name | FIRM GROUND MHW, INC.
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 3300 REYNOLDA RD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3093
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Country | US
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Telephone | 336-995-9728
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 REYNOLDA RD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3093
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAMARR DONTA THOMAS
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Credential | ND
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Telephone | 336-995-9728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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