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General NPI Number Information
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NPI Number | 1114259280
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Entity Type | Organization
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Legal Business Name | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, LLC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1314 PATTON AVE STE F
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City | ASHEVILLE
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State | NC
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Zip | 28806-2648
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Country | US
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Telephone | 828-258-9655
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Fax | 828-258-9657
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Provider Business Mailing Address
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Address Line | PO BOX 759194
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City | BALTIMORE
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State | MD
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Zip | 21275-9194
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Country | US
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Telephone | 828-225-3100
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Fax | 828-225-3604
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Authorized Official
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Title or Position | CONTRACT MANAGER
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Name | MELISSA KAY HEDDEN
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Credential |
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Telephone | 828-287-7945
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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 |
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License Number State |
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