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General NPI Number Information
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NPI Number | 1548663495
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Entity Type | Organization
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Legal Business Name | MID-COAST FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 120 S MAIN ST STE 310
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City | VICTORIA
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State | TX
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Zip | 77901-8144
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Country | US
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Telephone | 361-575-7780
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Fax | 361-575-8218
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Provider Business Mailing Address
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Address Line | 120 S MAIN ST STE 310
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City | VICTORIA
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State | TX
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Zip | 77901-8144
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Country | US
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Telephone | 361-575-7780
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Fax | 361-575-8218
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Authorized Official
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Title or Position | CHIEF OF OPERATIONS
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Name | MR. BRETT JONES
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Credential |
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Telephone | 361-575-7842
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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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