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General NPI Number Information
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NPI Number | 1003032137
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Entity Type | Organization
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Legal Business Name | SAVE OUR CHILDREN COALITION
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 MADISON ST
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City | BURLINGTON
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State | NC
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Zip | 27217-1435
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Country | US
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Telephone | 336-570-7008
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Fax | 336-570-7008
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Provider Business Mailing Address
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Address Line | 109 STAGG ST
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City | BURLINGTON
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State | NC
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Zip | 27217-2653
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Country | US
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Telephone | 336-229-5072
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Fax | 336-570-7008
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DONNA IRELAND-MCNEIL
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Credential |
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Telephone | 336-512-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | MHL001145
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License Number State | NC
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