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General NPI Number Information
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NPI Number | 1962777276
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Entity Type | Organization
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Legal Business Name | HEALTH-PRO HUMAN SERVICES, INC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1530 EVANS ST STE 105
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City | GREENVILLE
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State | NC
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Zip | 27834-5302
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Country | US
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Telephone | 252-364-8114
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Fax | 252-364-8938
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Provider Business Mailing Address
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Address Line | 1530 EVANS STREET STE 105
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City | GREENVILLE
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State | NC
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Zip | 27834-5301
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Country | US
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Telephone | 252-364-8114
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Fax | 252-364-8938
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Authorized Official
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Title or Position | CHAIRMAN / CEO
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Name | MR. SYLVESTER BAILEY III
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Credential | MBA
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Telephone | 252-364-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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