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General NPI Number Information
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NPI Number | 1750978771
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Entity Type | Organization
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Legal Business Name | NU VISIONS GROUP LLC
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 324 N 3RD ST
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City | BELMONT
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State | NC
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Zip | 28012-3337
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Country | US
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Telephone | 646-342-8924
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Fax |
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Provider Business Mailing Address
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Address Line | 6414 W WILKINSON BLVD STE 175
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City | BELMONT
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State | NC
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Zip | 28012-2858
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Country | US
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Telephone | 646-342-8924
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Fax |
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Authorized Official
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Title or Position | QUALIFIED PROFESSIONAL
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Name | TASHLYN THOMAS-RHODES
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Credential |
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Telephone | 646-342-8924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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