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General NPI Number Information
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NPI Number | 1417098393
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Entity Type | Organization
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Legal Business Name | FAMILY FOCUSED LLC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6235 MICHELAS BAY LN.
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City | WILMINGTON
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State | NC
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Zip | 28403-4468
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Country | US
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Telephone | 910-313-0459
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12413
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City | WILMINGTON
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State | NC
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Zip | 28405-0119
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Country | US
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Telephone |
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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. MICHELE DENISE MORSE
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Credential | BS, QP
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Telephone | 910-313-0459
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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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