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General NPI Number Information
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NPI Number | 1881837854
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Entity Type | Organization
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Legal Business Name | OPEN ARMS
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 172 DREW ST
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City | RAEFORD
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State | NC
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Zip | 28376-6639
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Country | US
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Telephone | 910-848-1116
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Fax | 910-848-1116
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Provider Business Mailing Address
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Address Line | 317 BAREFOOT RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-8220
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Country | US
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Telephone | 910-848-0959
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Fax | 910-848-0959
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. TOREIA EPHRAIM
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Credential |
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Telephone | 910-813-3041
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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 | MHL-047-116
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License Number State | NC
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