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General NPI Number Information
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NPI Number | 1811098189
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Entity Type | Organization
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Legal Business Name | CAROLINA FOCUS
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 2313 EXECUTIVE CIR SUITE C
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City | GREENVILLE
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State | NC
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Zip | 27834-3744
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Country | US
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Telephone | 252-758-0032
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Fax | 252-758-0030
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Provider Business Mailing Address
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Address Line | 2313 EXECUTIVE CIR SUITE C
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City | GREENVILLE
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State | NC
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Zip | 27834-3744
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Country | US
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Telephone | 252-758-0032
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Fax | 252-758-0030
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MR. WARREN CHRISTOPHER THOMPSON
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Credential | MS
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Telephone | 252-758-0032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 954
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1022
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5454
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License Number State | NC
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