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General NPI Number Information
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NPI Number | 1801037478
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Entity Type | Organization
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Legal Business Name | THE LAST STOP ON THE BLOCK
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 111 MOLESWORTH DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6324
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Country | US
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Telephone | 919-225-5773
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MOLESWORTH DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6324
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Country | US
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Telephone | 919-225-9773
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TANIA D BOND
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Credential |
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Telephone | 919-225-5773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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