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General NPI Number Information
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NPI Number | 1265595813
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Entity Type | Organization
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Legal Business Name | FAMILY ALTERNATIVES
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 88 E. GREEN STREET
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City | CLARKTON
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State | NC
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Zip | 28433
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Country | US
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Telephone | 910-647-0064
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 963
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City | LUMBERTON
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State | NC
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Zip | 28359-0963
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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 | DIRECTOR
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Name | LAVERN S. OXENDINE
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Credential |
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Telephone | 910-739-6624
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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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