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General NPI Number Information
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NPI Number | 1659688091
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Entity Type | Organization
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Legal Business Name | ACCESS COMMUNITY REHABILITATIVE BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 106 FABRISTER LN SUITE D
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City | LEXINGTON
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State | SC
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Zip | 29072-1911
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Country | US
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Telephone | 803-447-0001
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Fax | 866-576-2589
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Provider Business Mailing Address
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Address Line | 106 FABRISTER LN SUITE D
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City | LEXINGTON
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State | SC
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Zip | 29072-1911
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Country | US
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Telephone | 803-447-0001
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Fax | 866-576-2589
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JEMBRALYN CURLEE JONES
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Credential | MA, LPCI
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Telephone | 803-447-0001
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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 |
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License Number State |
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