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General NPI Number Information
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NPI Number | 1851629224
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Entity Type | Organization
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Legal Business Name | AAVA INC
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 603 S WALL ST
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City | BENSON
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State | NC
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Zip | 27504-1823
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Country | US
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Telephone | 919-894-2282
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Fax | 919-894-2269
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Provider Business Mailing Address
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Address Line | 1302 N JOHNSON ST
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City | BENSON
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State | NC
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Zip | 27504-6602
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Country | US
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Telephone | 919-894-2282
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Fax | 919-894-2269
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA IVEY
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Credential |
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Telephone | 919-201-5480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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