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General NPI Number Information
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NPI Number | 1821376237
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Entity Type | Organization
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Legal Business Name | FAMILY SOLUTIONS
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 2330 GRACE ST
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City | ROCK HILL
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State | SC
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Zip | 29732-2733
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Country | US
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Telephone | 803-343-9984
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Fax | 803-391-7665
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Provider Business Mailing Address
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Address Line | 2330 GRACE ST
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City | ROCK HILL
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State | SC
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Zip | 29732-2733
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Country | US
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Telephone | 803-343-9984
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Fax | 803-391-7665
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Authorized Official
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Title or Position | CEO
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Name | MR. TERENCE TYLER
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Credential | 10/10/1975
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Telephone | 803-343-9984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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