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General NPI Number Information
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NPI Number | 1508901364
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Entity Type | Organization
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Legal Business Name | SRFC, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 225 S MADISON BLVD F
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City | ROXBORO
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State | NC
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Zip | 27573-5427
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Country | US
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Telephone | 336-322-3739
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Fax | 336-322-3742
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Provider Business Mailing Address
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Address Line | 3711 UNIVERSITY DR SUITE C
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City | DURHAM
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State | NC
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Zip | 27707-2654
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Country | US
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Telephone | 919-405-2700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROLYN BROOKS
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Credential |
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Telephone | 919-405-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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