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General NPI Number Information
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NPI Number | 1780959031
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Entity Type | Organization
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Legal Business Name | FAMILY COMMUNITY RESOURCES
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 2221 S MONROE ST UNIT 2
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City | TALLAHASSEE
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State | FL
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Zip | 32301-6302
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Country | US
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Telephone | 919-500-3464
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 KENT RD
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City | RALEIGH
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State | NC
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Zip | 27606-1977
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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 | CONTROLLER
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Name | DARLENE LOWE
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Credential |
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Telephone | 919-500-3464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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