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General NPI Number Information
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NPI Number | 1760524839
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Entity Type | Organization
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Legal Business Name | THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1001 SUNSET AVE
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City | ASHEBORO
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State | NC
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Zip | 27203-5259
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Country | US
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Telephone | 336-625-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 SUNDAY DR
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City | RALEIGH
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State | NC
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Zip | 27607
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Country | US
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Telephone | 919-981-0740
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Fax | 919-954-7238
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Authorized Official
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Title or Position | FINANCIAL ASSISTANT
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Name | KEVIN COCHRAN
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Credential |
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Telephone | 919-981-0740
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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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