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General NPI Number Information
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NPI Number | 1619532454
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Entity Type | Organization
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Legal Business Name | NEWBERRY COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 115 NANCE ST
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City | NEWBERRY
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State | SC
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Zip | 29108-4709
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Country | US
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Telephone | 803-276-0078
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Fax | 803-276-0785
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Provider Business Mailing Address
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Address Line | PO BOX 856
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City | NEWBERRY
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State | SC
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Zip | 29108-0856
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Country | US
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Telephone | 803-276-0078
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Fax | 803-276-0785
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Authorized Official
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Title or Position | SENIOR ACCOUNTANT
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Name | SHANTE BURTON
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Credential |
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Telephone | 803-276-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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