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General NPI Number Information
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NPI Number | 1376918979
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Entity Type | Organization
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Legal Business Name | COMMUNITY ORGANIZATION FOR RIGHTS AND EMPOWERMENT
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 1250 UNITY ROAD
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City | HOLLY HILL
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State | SC
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Zip | 29059
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Country | US
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Telephone | 803-496-3164
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Fax | 803-496-3480
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 542 329 BALBOA LANE
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City | HOLLY HILL
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State | SC
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Zip | 29059
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Country | US
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Telephone | 802-496-3287
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Fax | 803-496-3480
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. VIRGINIA SULTON TOWNSEND
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Credential |
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Telephone | 803-496-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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