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General NPI Number Information
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NPI Number | 1770803652
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Entity Type | Organization
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Legal Business Name | ALL IN THE FAMILY SUPPORT SERVICES
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 1724 PRINCE DR
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City | BENBROOK
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State | TX
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Zip | 76126-3906
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Country | US
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Telephone | 682-234-4111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16662
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City | FORT WORTH
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State | TX
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Zip | 76162-0662
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Country | US
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Telephone | 682-234-4111
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NANCY R HARRIS
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Credential |
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Telephone | 682-234-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State | TX
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