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General NPI Number Information
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NPI Number | 1598329765
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Entity Type | Organization
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Legal Business Name | CAROLINAS QUALITY FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 7619 EBEN DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1113
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Country | US
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Telephone | 704-674-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 7619 EBEN DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1113
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Country | US
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Telephone | 704-674-8008
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | KIMBERLY N DIGSBY
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Credential |
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Telephone | 704-674-8008
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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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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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