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General NPI Number Information
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NPI Number | 1700067022
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Entity Type | Organization
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Legal Business Name | T & C & ASSOCIATES COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 2986 CUMBERLAND RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-2250
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Country | US
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Telephone | 910-273-8153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40823
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City | FAYETTEVILLE
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State | NC
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Zip | 28309
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CYNTHIA MARSHALL
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Credential |
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Telephone | 910-273-8153
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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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