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General NPI Number Information
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NPI Number | 1346698123
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Entity Type | Organization
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Legal Business Name | CHILDREN FIRST
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 620 LAMONDA RD
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City | BROOKSVILLE
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State | KY
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Zip | 41004-7871
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Country | US
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Telephone | 606-782-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 620 LAMONDA RD
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City | BROOKSVILLE
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State | KY
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Zip | 41004-7871
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Country | US
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Telephone | 606-782-4640
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Fax |
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Authorized Official
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Title or Position | DEVELOPMENTAL INTERVENTIONIST
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Name | MELISSA K THOMPSON
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Credential | MED
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Telephone | 606-782-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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