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General NPI Number Information
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NPI Number | 1366683203
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Entity Type | Organization
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Legal Business Name | FAFLI INC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 2601 READ ST SUITE I-2
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City | COLUMBIA
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State | SC
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Zip | 29204-7861
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Country | US
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Telephone | 803-834-7100
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Fax | 802-834-7102
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Provider Business Mailing Address
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Address Line | 2601 READ ST SUITE I-2
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City | COLUMBIA
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State | SC
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Zip | 29204-7861
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Country | US
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Telephone | 803-834-7100
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Fax | 803-834-7102
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. FRANKLIN IGWILO
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Credential |
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Telephone | 704-999-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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