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General NPI Number Information
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NPI Number | 1396809778
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY FOCUS, INC.
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 920 MADISON AVE
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City | AUDUBON
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State | PA
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Zip | 19403-2307
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Country | US
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Telephone | 610-650-7759
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Fax | 610-650-7759
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Provider Business Mailing Address
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Address Line | 920 MADISON AVE
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City | AUDUBON
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State | PA
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Zip | 19403-2307
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Country | US
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Telephone | 610-650-7759
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Fax | 610-650-7759
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Authorized Official
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Title or Position | CEO
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Name | MR. MEL BWINT
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Credential | MSW
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Telephone | 610-650-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 120350
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 120340
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License Number State | PA
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