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General NPI Number Information
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NPI Number | 1750165452
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Entity Type | Organization
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Legal Business Name | BROTHERS HELPING HANDS OF NC INC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 3033 ROSEMEADE DR RESIDENTIAL
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City | FAYETTEVILLE
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State | NC
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Zip | 28306
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Country | US
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Telephone | 910-527-2913
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Fax | 910-527-2913
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Provider Business Mailing Address
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Address Line | 347 ST THOMAS RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-2966
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Country | US
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Telephone | 910-527-2913
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MEDFORD A BROTHERS III
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Credential |
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Telephone | 910-527-2913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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