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General NPI Number Information
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NPI Number | 1881782548
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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 | 10/10/2006
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 325 RUSSET RUN
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City | PITTSBORO
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State | NC
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Zip | 27312-5000
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Country | US
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Telephone | 919-542-1910
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Fax | 919-542-0978
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Provider Business Mailing Address
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Address Line | 325 RUSSET RUN
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City | PITTSBORO
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State | NC
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Zip | 27312-5000
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Country | US
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Telephone | 919-542-1910
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Fax | 919-542-0978
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Authorized Official
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Title or Position | VICE CHANCELLOR FINANCE & ADMIN
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Name | DR. RICHARD L. MANN
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Credential |
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Telephone | 919-962-3798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL019007
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License Number State | NC
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