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General NPI Number Information
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NPI Number | 1366937021
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Entity Type | Organization
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Legal Business Name | DOORS TO FREEDOM
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 1317M N MAIN ST # 263
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City | SUMMERVILLE
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State | SC
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Zip | 29483-7307
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Country | US
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Telephone | 843-879-3924
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Fax |
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Provider Business Mailing Address
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Address Line | 1317M N MAIN ST # 263
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City | SUMMERVILLE
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State | SC
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Zip | 29483-7307
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Country | US
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Telephone | 843-879-3924
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, FOUNDER
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Name | SHARON RIKARD
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Credential |
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Telephone | 843-879-3924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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