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General NPI Number Information
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NPI Number | 1982313680
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Entity Type | Organization
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Legal Business Name | TOTAL SUPPORTIVE SERVICES
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 425 CHERRYVILLE RD STE C
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City | SHELBY
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State | NC
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Zip | 28150-3651
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Country | US
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Telephone | 980-242-0359
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 582
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City | EARL
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State | NC
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Zip | 28038-0582
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Country | US
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Telephone | 980-295-5040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SYLVIA AUSTIN
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Credential |
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Telephone | 980-295-5040
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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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