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General NPI Number Information
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NPI Number | 1851979041
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Entity Type | Organization
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Legal Business Name | COASTAL HORIZONS CENTER INC.
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 6 DOCTORS CIR STE 1
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City | SUPPLY
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State | NC
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Zip | 28462-6358
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Country | US
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Telephone | 910-754-4233
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Fax | 910-754-7997
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Provider Business Mailing Address
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Address Line | 120 COASTAL HORIZONS DR
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City | SHALLOTTE
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State | NC
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Zip | 28470-6094
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Country | US
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Telephone | 910-754-4515
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Fax | 910-754-7997
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Authorized Official
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Title or Position | QUALITY IMPROVEMENT TRAINING DIRECT
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Name | MR. LINDSAY LINDSAY JOINES JR.
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Credential |
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Telephone | 910-399-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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