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General NPI Number Information
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NPI Number | 1780047068
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Entity Type | Organization
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Legal Business Name | FAMILIES FOR FAMILIES SERVICE AGENCY
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Dates
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Enumeration Date | 04/03/2016
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Last Update Date | 04/03/2016
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Provider Practice Location Address
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Address Line | 4542 RAEFORD RD SUITE A8
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3207
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Country | US
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Telephone | 910-491-0907
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Fax | 910-491-0982
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Provider Business Mailing Address
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Address Line | 4542 RAEFORD RD SUITE A8
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3207
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Country | US
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Telephone | 910-491-0907
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Fax | 910-491-0982
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Authorized Official
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Title or Position | CEO
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Name | MRS. RIVETTE N COLE
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Credential | MSW
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Telephone | 910-797-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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