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General NPI Number Information
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NPI Number | 1245685734
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Entity Type | Organization
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Legal Business Name | TOUCHING LIVES FAMILY SERVICES
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 131 TULANE DR
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City | RAEFORD
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State | NC
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Zip | 28376-8006
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Country | US
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Telephone | 910-257-7189
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Fax |
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Provider Business Mailing Address
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Address Line | 131 TULANE DR
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City | RAEFORD
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State | NC
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Zip | 28376-8006
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Country | US
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Telephone | 910-257-7189
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Fax |
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Authorized Official
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Title or Position | OWENER/PROVIDER
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Name | JETTIE PATTERSON
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Credential |
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Telephone | 910-257-7189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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