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General NPI Number Information
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NPI Number | 1790831063
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC SUPPORTIVE SERVICES, INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 EASTBROOK DR SUITE B
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City | GREENVILLE
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State | NC
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Zip | 27858-4220
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Country | US
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Telephone | 252-758-1219
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Fax | 252-757-3049
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Provider Business Mailing Address
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Address Line | PO BOX 7212
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City | GREENVILLE
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State | NC
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Zip | 27835-7212
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Country | US
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Telephone | 252-758-1219
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Fax | 252-757-3049
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. CHRISTOPHER LEE WOODS
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Credential |
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Telephone | 252-758-1219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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