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General NPI Number Information
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NPI Number | 1013327048
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Entity Type | Organization
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Legal Business Name | AMERICAN FAMILY MATTERS LLC
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 231 JEFFERSON ST
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City | MARTINSBURG
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State | WV
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Zip | 25401-1605
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Country | US
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Telephone | 301-620-1999
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Fax | 301-620-7672
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Provider Business Mailing Address
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Address Line | 129 W PATRICK ST SUITE 8
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City | FREDERICK
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State | MD
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Zip | 21701-5551
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Country | US
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Telephone | 301-620-1999
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Fax | 301-620-7672
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. STEVEN Z RUNNELLS
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Credential |
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Telephone | 301-620-1999
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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 | 22951609
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License Number State | WV
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