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General NPI Number Information
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NPI Number | 1851692719
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Entity Type | Organization
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Legal Business Name | SOLID FOUNDATION FACILITIES INC
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 1321 FIRST ST W
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City | AHOSKIE
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State | NC
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Zip | 27910-8842
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Country | US
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Telephone | 252-209-8932
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Fax | 252-209-8933
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Provider Business Mailing Address
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Address Line | PO BOX 709
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City | WINDSOR
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State | NC
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Zip | 27983-0709
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Country | US
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Telephone | 252-794-2385
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Fax | 252-794-4747
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Authorized Official
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Title or Position | CEO
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Name | R VERNELL RODGERS
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Credential |
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Telephone | 252-794-2385
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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 | 626
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License Number State | NC
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Taxonomy #2
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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 | NC
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 626
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 626
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License Number State | NC
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