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General NPI Number Information
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NPI Number | 1649460072
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Entity Type | Organization
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Legal Business Name | MADISON COUNTY DSS
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 5707 US HIGHWAY 25/70 STE D
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City | MARSHALL
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State | NC
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Zip | 28753-6449
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Country | US
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Telephone | 828-649-2711
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Fax | 828-649-3687
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | MARSHALL
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State | NC
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Zip | 28753-0219
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Country | US
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Telephone | 828-649-2711
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Fax | 828-649-3687
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Authorized Official
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Title or Position | DIRECTOR
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Name | CONNIE M HARRIS
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Credential |
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Telephone | 828-649-2711
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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 | 8700100
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License Number State | NC
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