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General NPI Number Information
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NPI Number | 1821338963
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Entity Type | Organization
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Legal Business Name | COMPASS HEALTH SYSTEMS OF NORTH CAROLINA
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 11403 N TRYON ST
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City | CHARLOTTE
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State | NC
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Zip | 28262-0408
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Country | US
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Telephone | 888-852-6672
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Fax | 305-891-4228
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Provider Business Mailing Address
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Address Line | 1065 NE 125TH ST STE 300
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5833
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Country | US
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Telephone | 888-852-6672
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Fax |
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Authorized Official
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Title or Position | CEO/ PRESIDENT
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Name | DR. SCOTT SEGAL
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Credential | MD
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Telephone | 888-852-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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