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General NPI Number Information
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NPI Number | 1780018994
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Entity Type | Organization
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Legal Business Name | FAMILY'S FIRST FOCUS, LLC
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 420 N AUSTIN ST 7
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City | SEGUIN
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State | TX
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Zip | 78155-4905
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Country | US
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Telephone | 830-491-1427
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Fax |
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Provider Business Mailing Address
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Address Line | 562 S HIGHWAY 123 BYP PMB 111
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City | SEGUIN
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State | TX
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Zip | 78155-9752
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Country | US
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Telephone | 830-491-1427
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | AMY NELSON
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Credential |
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Telephone | 830-491-1427
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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 | 35998
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License Number State | TX
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