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General NPI Number Information
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NPI Number | 1740563501
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Entity Type | Organization
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Legal Business Name | A NEW DIMENSION SUBSTANCE ABUSE COUNSELING SERVICE
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 116 MAIN ST NW
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City | LENOIR
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State | NC
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Zip | 28645-5417
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Country | US
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Telephone | 828-759-2921
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Fax | 828-759-0701
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Provider Business Mailing Address
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Address Line | PO BOX 1026
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City | LENOIR
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State | NC
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Zip | 28645-1026
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Country | US
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Telephone | 828-759-2921
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Fax | 828-759-0701
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. ALGER HARPER
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Credential | CSAC, ICADC
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Telephone | 828-759-2921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 50428
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | MHL-014-050
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License Number State | NC
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