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General NPI Number Information
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NPI Number | 1306582879
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Entity Type | Organization
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Legal Business Name | THE EXCHANGE CLUB'S FAMILY CENTER IN ALAMANCE COUNTY
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 200 N MAIN ST
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City | GRAHAM
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State | NC
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Zip | 27253-2853
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Country | US
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Telephone | 336-227-5601
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Fax | 336-227-5603
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Provider Business Mailing Address
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Address Line | 200 N MAIN ST
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City | GRAHAM
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State | NC
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Zip | 27253-2853
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Country | US
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Telephone | 336-227-5601
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Fax | 336-227-5603
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH BLACK
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Credential | MA, MFT
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Telephone | 336-227-5601
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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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