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General NPI Number Information
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NPI Number | 1982403754
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Entity Type | Organization
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Legal Business Name | THRIVE RESPITE & RELIEF OF SALISBURY LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 118 HENDERLITE ST
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City | SALISBURY
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State | NC
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Zip | 28144-3602
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Country | US
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Telephone | 980-206-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 POPLAR TENT RD STE 115 - 3058
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City | CONCORD
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State | NC
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Zip | 28027-9502
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Country | US
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Telephone | 980-206-8188
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | GREGORY HUCKLEBERRY
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Credential |
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Telephone | 980-206-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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