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General NPI Number Information
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NPI Number | 1255702155
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Entity Type | Organization
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Legal Business Name | ALWAYS PLAY WITH A PURPOSE, LLC
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Dates
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Enumeration Date | 10/18/2015
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Last Update Date | 10/18/2015
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Provider Practice Location Address
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Address Line | 345 CARRIAGE LN
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City | ASHEBORO
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State | NC
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Zip | 27205-8817
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Country | US
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Telephone | 336-460-4170
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Fax |
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Provider Business Mailing Address
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Address Line | 345 CARRIAGE LN
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City | ASHEBORO
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State | NC
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Zip | 27205-8817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHILD BASED REHABILITATIVE SERVICE
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Name | MRS. JENNIFER CARROLL HINESLEY
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Credential | ITFS
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Telephone | 336-460-4170
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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 | 252Y0000X
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License Number State | NC
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