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General NPI Number Information
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NPI Number | 1720309289
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Entity Type | Organization
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Legal Business Name | CAROLINA THERAPEUTIC SOLUTIONS
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 823 E KING ST
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-3186
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Country | US
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Telephone | 980-487-2010
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Fax | 704-487-5349
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Provider Business Mailing Address
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Address Line | PO BOX 1300
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City | SHELBY
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State | NC
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Zip | 28151-1300
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Country | US
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Telephone | 980-487-2010
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Fax | 704-487-5349
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. DENISE R COOPER
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Credential |
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Telephone | 980-487-3048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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