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General NPI Number Information
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NPI Number | 1275688046
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR FAMILY CENTERED SERVICES
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 1209 E GARRISON BLVD
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City | GASTONIA
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State | NC
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Zip | 28054-5115
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Country | US
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Telephone | 704-864-6573
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Fax | 704-864-9791
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Provider Business Mailing Address
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Address Line | 3210 SKIPWITH RD SUITE B
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City | HENRICO
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State | VA
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Zip | 23294-4443
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Country | US
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Telephone | 804-346-0051
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Fax | 804-346-0494
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Authorized Official
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Title or Position | VP & SR ASST GENERAL COUNSEL
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Name | MARY PATRICIA RODENBERG-ROBERTS
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Credential |
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Telephone | 952-836-2234
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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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