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General NPI Number Information
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NPI Number | 1336372879
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Entity Type | Organization
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Legal Business Name | FACE TO FACE HEALTH AND COUNSELING SERVICE, INC.
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 1165 ARCADE ST
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City | SAINT PAUL
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State | MN
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Zip | 55106-2615
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Country | US
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Telephone | 651-772-5555
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Fax | 651-772-5656
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Provider Business Mailing Address
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Address Line | 1165 ARCADE ST
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City | SAINT PAUL
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State | MN
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Zip | 55106-2615
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Country | US
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Telephone | 651-772-5555
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Fax | 651-772-5656
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALISON MARIE WARFORD
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Credential | MD
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Telephone | 651-772-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State | MN
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