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General NPI Number Information
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NPI Number | 1356647523
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Entity Type | Organization
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Legal Business Name | FAMILY MATTERS FIRST
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 4500 I 55 N SUITE 220
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City | JACKSON
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State | MS
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Zip | 39211-5930
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Country | US
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Telephone | 601-624-1756
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Fax |
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Provider Business Mailing Address
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Address Line | 1888 MAIN ST SUITE C169
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City | MADISON
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State | MS
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Zip | 39110-6337
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Country | US
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Telephone | 601-624-1756
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Fax | 888-681-8969
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. TERESA MESHALLE ADAMS
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Credential | LPC
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Telephone | 601-624-1756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 279577
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License Number State | MS
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