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General NPI Number Information
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NPI Number | 1770819062
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Entity Type | Organization
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Legal Business Name | COMPASS POINT, LLC
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 2539 CASTLE HAYNE RD SUITE F1
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City | WILMINGTON
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State | NC
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Zip | 28401-2698
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Country | US
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Telephone | 910-790-6015
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Fax | 910-791-6872
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Provider Business Mailing Address
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Address Line | 2539 CASTLE HAYNE RD SUITE F1
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City | WILMINGTON
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State | NC
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Zip | 28401-2698
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Country | US
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Telephone | 910-790-6015
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Fax | 910-791-6872
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JESSICA WIZMAN
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Credential | LCSW
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Telephone | 910-791-6015
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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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