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General NPI Number Information
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NPI Number | 1992709810
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Entity Type | Organization
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Legal Business Name | CUMBERLAND COUNTY HOSPITAL SYSTEM, INC.
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3425 MELROSE RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1608
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Country | US
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Telephone | 910-609-3700
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Fax | 910-609-3784
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Provider Business Mailing Address
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Address Line | 3425 MELROSE RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1608
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Country | US
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Telephone | 910-609-3700
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Fax | 910-609-3784
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Authorized Official
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Title or Position | CEO
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Name | RICHARD PARKS
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Credential |
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Telephone | 910-609-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H0213
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License Number State | NC
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