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NPI 1760201131

NPI 1760201131 : GLOBAL NETWORK INTERNATIONAL, LLC. : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1760201131
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOBAL NETWORK INTERNATIONAL, LLC. 
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Dates
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    Enumeration Date     |    10/03/2024
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    1424 HERON POND ST 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27604-9709
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    Country              |    US
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    Telephone            |    704-451-8476
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4033 VILLAGE PARK DR STE 123 
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    City                 |    KNIGHTDALE
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    State                |    NC
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    Zip                  |    27545-7044
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    Country              |    US
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    Telephone            |    704-451-8476
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SIMONE  GARDNER 
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    Credential           |    
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    Telephone            |    919-438-1620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    385HR2055X
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    Taxonomy Name        |    Child Mental Illness Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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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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Taxonomy #7
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    Taxonomy Code        |    253J00000X
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    Taxonomy Name        |    Foster Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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