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General NPI Number Information
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NPI Number | 1831490002
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Entity Type | Organization
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Legal Business Name | FAMILY CONNECTIONS OF GOLDSBORO, LLC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 701 E ASH ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-3801
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Country | US
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Telephone | 919-734-4434
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E ASH ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-3801
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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 | OFFICE MANAGER
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Name | MS. ASIA JONES
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Credential |
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Telephone | 252-916-4050
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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 | MHL-096-233
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License Number State | NC
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