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General NPI Number Information
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NPI Number | 1326699950
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Entity Type | Organization
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Legal Business Name | FAMILY ADVOCACY AND COMMUNITY TRAINING
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 800 FRIEDENS RD STE 200
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City | SAINT CHARLES
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State | MO
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Zip | 63303-4198
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Country | US
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Telephone | 314-578-7280
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Fax | 636-724-3664
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Provider Business Mailing Address
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Address Line | 800 FRIEDENS RD STE 200
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City | SAINT CHARLES
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State | MO
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Zip | 63303-4198
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Country | US
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Telephone | 314-578-7280
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Fax | 636-724-3664
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Authorized Official
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Title or Position | TRAINING SPECIALIST
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Name | KAREN COOPER
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Credential |
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Telephone | 636-949-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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