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General NPI Number Information
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NPI Number | 1659461119
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Entity Type | Organization
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Legal Business Name | FOR KIDS ONLY CHILD DEVELOPMENT CENTER
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 344 MULBERRY ST
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City | SHALLOTTE
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State | NC
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Zip | 28459
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Country | US
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Telephone | 910-754-7777
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Fax | 910-755-7777
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Provider Business Mailing Address
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Address Line | PO BOX 2991
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City | SHALLOTTE
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State | NC
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Zip | 28459-2991
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Country | US
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Telephone | 910-754-7777
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Fax | 910-755-7777
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | MRS. PAMELA L HELMS
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Credential |
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Telephone | 910-754-7777
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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 | 1055054
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License Number State | NC
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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 | 1055054
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1055054
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License Number State | NC
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