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General NPI Number Information
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NPI Number | 1821489188
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Entity Type | Organization
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Legal Business Name | ULTRA VIOLET MENTAL HEALTH
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 1930 JAKE ALEXANDER BLVD W STE 1020
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City | SALISBURY
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State | NC
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Zip | 28147-1185
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Country | US
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Telephone | 704-870-8108
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Fax | 704-870-8110
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Provider Business Mailing Address
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Address Line | 1930 JAKE ALEXANDER BLVD W STE 1020
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City | SALISBURY
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State | NC
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Zip | 28147-1185
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Country | US
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Telephone | 704-870-8108
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Fax | 704-870-8110
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Authorized Official
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Title or Position | OWNER
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Name | MS. NATALIE ERRANTE
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Credential | NP
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Telephone | 704-870-8108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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