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General NPI Number Information
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NPI Number | 1679073423
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Entity Type | Organization
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Legal Business Name | HOUSE CALL SERVICES
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 220 LAETTNER DR
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City | THOMASVILLE
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State | NC
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Zip | 27360-8926
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Country | US
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Telephone | 336-501-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 220 LAETTNER DR
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City | THOMASVILLE
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State | NC
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Zip | 27360-8926
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Country | US
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Telephone | 336-501-3050
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JESSICA BRUNO
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Credential | LMFT
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Telephone | 336-701-2136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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