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NPI 1730958489

NPI 1730958489 : RHA HEALTH SERVICES NC LLC : ROBERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1730958489
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    Entity Type          |    Organization 
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    Legal Business Name  |    RHA HEALTH SERVICES NC LLC 
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Dates
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    Enumeration Date     |    12/21/2023
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    Last Update Date     |    12/21/2023
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Provider Practice Location Address
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    Address Line         |    3188 STATON MILL RD 
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    City                 |    ROBERSONVILLE
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    State                |    NC
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    Zip                  |    27871-9349
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    Country              |    US
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    Telephone            |    252-227-6758
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1819 PEACHTREE RD NE STE 450 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30309-1853
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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    |    SVP FINANCIAL SERVICES
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    Name                 |     JENNIFER D LOZANO 
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    Credential           |    
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    Telephone            |    770-630-7290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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