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General NPI Number Information
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NPI Number | 1407928633
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Entity Type | Organization
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Legal Business Name | FIRM FOUNDATION, INC.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1311 FORT BRAGG RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4705
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Country | US
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Telephone | 910-485-3332
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Fax | 910-485-1453
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Provider Business Mailing Address
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Address Line | PO BOX 25521
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-5008
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Country | US
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Telephone | 910-485-3332
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Fax | 910-485-1453
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CAROLYN JOHNSON STILES
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Credential |
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Telephone | 910-485-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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