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General NPI Number Information
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NPI Number | 1710834148
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Entity Type | Organization
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Legal Business Name | FAITHFUL HOUSE
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 201 GRABTOWN RD
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City | WINDSOR
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State | NC
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Zip | 27983-7565
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Country | US
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Telephone | 252-484-3237
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Fax |
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Provider Business Mailing Address
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Address Line | 111 GREENFIELD BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-1108
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Country | US
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Telephone | 252-333-8971
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | MONA EPPS
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Credential | QP
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Telephone | 252-333-8971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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