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General NPI Number Information
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NPI Number | 1629381157
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SERVICES INC.
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 543 NORTH ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2766
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Country | US
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Telephone | 508-996-3154
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Fax |
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Provider Business Mailing Address
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Address Line | 543 NORTH ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2766
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Country | US
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Telephone | 508-996-3154
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Fax |
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Authorized Official
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Title or Position | ES DIRECTOR
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Name | MS. JESSICA MEDEIROS
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Credential | LMHC
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Telephone | 508-996-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 410559
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License Number State | MA
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