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General NPI Number Information
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NPI Number | 1942468871
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Entity Type | Organization
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Legal Business Name | POSITIVE PROGRESS SERVICES
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 305 EAST THIRD STREET STE 5
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City | PEMBROKE
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State | NC
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Zip | 28737-8372
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Country | US
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Telephone | 910-843-5021
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Fax | 910-843-5021
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Provider Business Mailing Address
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Address Line | P O BOX 1678
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City | PEMBROKE
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State | NC
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Zip | 28372-8372
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Country | US
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Telephone | 910-843-5021
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Fax | 910-843-5021
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS LORIE HAMMONDS
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Credential |
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Telephone | 910-734-6765
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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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