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General NPI Number Information
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NPI Number | 1861529265
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 1950 MARTIN ST
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City | BURLINGTON
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State | NC
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Zip | 27217-2949
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Country | US
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Telephone | 336-229-3839
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Fax | 336-513-0103
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Provider Business Mailing Address
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Address Line | 127 KINGSTON DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1650
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Country | US
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Telephone | 919-966-9803
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Fax | 919-966-9169
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Authorized Official
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Title or Position | DIRECTOR
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Name | HENDREE JONES
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Credential | PHD
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Telephone | 919-966-9803
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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 | MHL-068-107
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License Number State | NC
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