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General NPI Number Information
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NPI Number | 1063515294
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Entity Type | Organization
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Legal Business Name | ANDERSON OCONEE COUNCIL ON TEEN PREGNANCY PREVENTION
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 220 MCGEE RD
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City | ANDERSON
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State | SC
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Zip | 29625-2104
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Country | US
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Telephone | 864-260-5632
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Fax | 864-260-5664
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Provider Business Mailing Address
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Address Line | PO BOX 2623
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City | ANDERSON
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State | SC
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Zip | 29622-2623
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Country | US
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Telephone | 864-260-5632
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Fax | 864-260-5664
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. STACIE PATRICE THOMPSON
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Credential |
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Telephone | 864-260-5632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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