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General NPI Number Information
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NPI Number | 1205471034
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Entity Type | Organization
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Legal Business Name | FRANKIE & JAMIE'S FAMILY CARE LLC
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Dates
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Enumeration Date | 11/15/2019
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 454 N MAIN ST
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City | FRANKLINTON
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State | NC
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Zip | 27525-9312
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Country | US
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Telephone | 410-652-9095
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Fax | 919-494-2339
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Provider Business Mailing Address
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Address Line | 454 N MAIN ST
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City | FRANKLINTON
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State | NC
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Zip | 27525-9312
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Country | US
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Telephone | 410-652-9095
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Fax | 919-494-2339
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Authorized Official
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Title or Position | DIRECTOR
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Name | NIKITA DAWN BELL
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Credential |
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Telephone | 410-652-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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