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General NPI Number Information
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NPI Number | 1982413258
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Entity Type | Organization
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Legal Business Name | ENSURING SOLUTIONS INC.
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 301 MCCULLOUGH DR
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City | CHARLOTTE
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State | NC
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Zip | 28262-3310
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Country | US
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Telephone | 704-430-1038
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Fax | 704-973-0222
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Provider Business Mailing Address
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Address Line | 13724 RIDING HILL AVE
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City | CHARLOTTE
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State | NC
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Zip | 28213-4251
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Country | US
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Telephone | 704-430-1038
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Fax | 704-973-0222
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CRYSTAL SIMMONS-DOUGLAS
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Credential |
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Telephone | 704-430-1038
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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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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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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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License Number |
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License Number State |
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