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General NPI Number Information
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NPI Number | 1457505935
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Entity Type | Organization
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Legal Business Name | FOR THE KIDS SERVICES
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 4746 CASCADE AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-8190
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Country | US
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Telephone | 803-207-9805
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Fax |
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Provider Business Mailing Address
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Address Line | 4746 CASCADE AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-8190
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Country | US
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Telephone | 803-207-9805
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ONTWAIN SIMPSON
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Credential |
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Telephone | 803-207-9805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | A-5388
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | RCP 3381
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License Number State | SC
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