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General NPI Number Information
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NPI Number | 1306822127
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Entity Type | Organization
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Legal Business Name | SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 DUTCH SQUARE BLVD
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City | COLUMBIA
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State | SC
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Zip | 29210-7317
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Country | US
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Telephone | 803-791-7328
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Fax | 803-791-4198
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Provider Business Mailing Address
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Address Line | 10100 ELIDA RD
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City | DELPHOS
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State | OH
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Zip | 45833-9056
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Country | US
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Telephone | 419-695-8010
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Fax | 419-695-0565
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Authorized Official
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Title or Position | JR ACCOUNTANT
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Name | LISA SCHULTE
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Credential |
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Telephone | 419-695-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | SR-0009100001-CPA
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License Number State | SC
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