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General NPI Number Information
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NPI Number | 1538648431
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Entity Type | Organization
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Legal Business Name | A SECOND CHANCE RESOURCE CENTER NETWORK UNITED, INCORPORATED
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 3236 LANDMARK DR STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-8489
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Country | US
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Telephone | 843-552-1928
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Fax | 844-836-2383
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Provider Business Mailing Address
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Address Line | 7916 ELDERBERRY CIR
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-2133
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Country | US
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Telephone | 843-552-1928
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Fax | 844-836-2383
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PATSY H GARDNER
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Credential | MA, CAAP
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Telephone | 843-552-1928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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