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General NPI Number Information
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NPI Number | 1487460564
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Entity Type | Organization
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Legal Business Name | INTEGRATED FAMILY SERVICES, PLLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 3005 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-7276
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Country | US
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Telephone | 252-439-0700
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Fax | 252-689-6351
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | GREENVILLE
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State | NC
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Zip | 27835-0253
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Country | US
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Telephone | 252-439-0700
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Fax | 252-689-6774
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATIVE DIRECTOR
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Name | TINA MARIE PHILLIPS
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Credential |
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Telephone | 252-439-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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