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General NPI Number Information
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NPI Number | 1700949070
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Entity Type | Organization
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Legal Business Name | FAMILY & CHILDREN FIRST, INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 209 EXECUTIVE PARK
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City | LOUISVILLE
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State | KY
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Zip | 40207-4202
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Country | US
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Telephone | 502-895-4671
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Fax | 502-893-9646
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Provider Business Mailing Address
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Address Line | 2303 RIVER ROAD
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City | LOUISVILLE
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State | KY
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Zip | 40206
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Country | US
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Telephone | 502-893-3900
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Fax | 502-893-9646
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAN FOX
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Credential | MSW
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Telephone | 502-893-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 805
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License Number State | KY
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