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General NPI Number Information
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NPI Number | 1730310533
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Entity Type | Organization
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Legal Business Name | ADVANCE BEHAVIORAL CENTER, INC.
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 317 CHATHAM ST
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City | SANFORD
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State | NC
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Zip | 27330-4801
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Country | US
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Telephone | 919-777-0212
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Fax | 910-778-7279
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Provider Business Mailing Address
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Address Line | 317 CHATHAM ST
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City | SANFORD
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State | NC
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Zip | 27330-4801
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Country | US
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Telephone | 919-777-0212
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Fax | 910-778-7279
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. EDDIE LEE HIGHTOWER
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Credential |
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Telephone | 910-527-8073
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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