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General NPI Number Information
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NPI Number | 1538464359
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Entity Type | Organization
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Legal Business Name | THE FAMILY CONNECTION, LLC
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 2295 LAWRENCE 2140
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City | SARCOXIE
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State | MO
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Zip | 64862-8249
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Country | US
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Telephone | 417-310-3527
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Fax | 866-826-4066
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Provider Business Mailing Address
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Address Line | 2295 LAWRENCE 2140
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City | SARCOXIE
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State | MO
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Zip | 64862-8249
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Country | US
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Telephone | 417-310-3527
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Fax | 866-826-4066
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. CARLA JANE HIEBSCH
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Credential |
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Telephone | 417-310-3527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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