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General NPI Number Information
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NPI Number | 1447726005
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Entity Type | Organization
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Legal Business Name | C-3 FAMILY & YOUTH SERVICES INC.
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 1400 BATTLEGROUND AVE STE 214G
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City | GREENSBORO
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State | NC
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Zip | 27408-8028
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Country | US
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Telephone | 336-772-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BATTLEGROUND AVE STE 214G
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City | GREENSBORO
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State | NC
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Zip | 27408-8028
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Country | US
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Telephone | 336-772-0103
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER / OWNER
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Name | DANA MADISON LOWE
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Credential |
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Telephone | 336-772-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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