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General NPI Number Information
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NPI Number | 1861266819
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Entity Type | Organization
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Legal Business Name | MCLEOD CHILDREN FAMILY SERVICES
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 7712 N ANCON DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-0400
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Country | US
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Telephone | 910-229-8093
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Fax | 910-491-1155
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Provider Business Mailing Address
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Address Line | 7712 N ANCON DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-0400
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Country | US
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Telephone | 910-229-8093
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Fax | 910-491-1155
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHIRLEY M MCLEOD
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Credential | MED/MA
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Telephone | 910-229-8093
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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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