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General NPI Number Information
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NPI Number | 1699812453
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Entity Type | Organization
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Legal Business Name | CAROLINA CHILDREN'S HOME
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 3201 TRENHOLM ROAD
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City | COLUMBIA
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State | SC
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Zip | 29204-3371
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Country | US
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Telephone | 803-782-1421
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Fax | 803-787-2642
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Provider Business Mailing Address
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Address Line | 3201 TRENHOLM ROAD
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City | COLUMBIA
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State | SC
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Zip | 29204-3371
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Country | US
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Telephone | 803-782-1421
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Fax | 803-787-2642
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARGARET TORREY
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Credential | PH.D.
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Telephone | 803-782-1421
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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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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | SR-00019238001-CCI
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License Number State | SC
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