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General NPI Number Information
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NPI Number | 1386989127
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Entity Type | Organization
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Legal Business Name | FRIENDS OF AFRICAN AMER. FAMILY SERVICE CENTER
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 1033 WHITTIER AVENUE ROOM 118
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City | SAINT LOUIS
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State | MO
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Zip | 63113
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Country | US
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Telephone | 314-867-6470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52355 1033 WHITTIER AVE. ROOM 118
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City | SAINT LOUIS
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State | MO
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Zip | 63136-8355
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Country | US
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Telephone | 314-867-6470
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. BARBARA JEAN ROBINSON
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Credential | MSW/LCSW
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Telephone | 314-867-6470
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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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