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General NPI Number Information
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NPI Number | 1912820143
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Entity Type | Organization
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Legal Business Name | GLOBAL ACADEMIC AND ENRICHMENT CENTER
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 6512 CLARK CREEK TRL
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City | WHITSETT
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State | NC
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Zip | 27377-9358
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Country | US
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Telephone | 813-997-2397
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Fax | 813-997-2397
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Provider Business Mailing Address
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Address Line | 6512 CLARK CREEK TRL
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City | WHITSETT
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State | NC
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Zip | 27377-9358
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Country | US
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Telephone | 813-997-2397
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Fax | 813-997-2397
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Authorized Official
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Title or Position | CEO
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Name | DR. JEFFREY HAYNES
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Credential | PHD
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Telephone | 813-997-2397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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