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General NPI Number Information
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NPI Number | 1841420981
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Entity Type | Organization
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Legal Business Name | 2ND II NONE FOUNDATION
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 5820 E WT HARRIS BLVD STE 111
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City | CHARLOTTE
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State | NC
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Zip | 28215-3604
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Country | US
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Telephone | 704-566-6134
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Fax | 705-566-6136
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Provider Business Mailing Address
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Address Line | PO BOX 481972
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City | CHARLOTTE
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State | NC
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Zip | 28269-5331
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Country | US
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Telephone | 704-780-4608
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Fax | 704-780-1079
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. JO ANN HARRIS GUY
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Credential |
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Telephone | 704-780-4608
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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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