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General NPI Number Information
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NPI Number | 1295887404
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Entity Type | Organization
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Legal Business Name | MARTIN COUNTY DSS
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 305 E MAIN ST
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2566
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Country | US
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Telephone | 252-789-4403
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Fax | 252-789-4409
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Provider Business Mailing Address
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Address Line | 305 E MAIN ST
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2566
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Country | US
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Telephone | 252-789-4403
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Fax | 252-789-4409
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Authorized Official
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Title or Position | ADMINISTRATIVE OFFICER II
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Name | CLIFTON HARDISON
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Credential |
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Telephone | 252-789-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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