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General NPI Number Information
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NPI Number | 1871697888
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY DEVELOPMENT INC.
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 4012 PARK RD SUITE 200
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City | CHARLOTTE
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State | NC
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Zip | 28209-2377
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Country | US
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Telephone | 704-332-4834
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Fax | 704-372-9653
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Provider Business Mailing Address
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Address Line | 4012 PARK ROAD SUITE 200
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City | CHARLOTTE
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State | NC
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Zip | 28209
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Country | US
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Telephone | 704-332-4834
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Fax | 704-372-9653
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PAM JONES
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Credential |
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Telephone | 704-332-4834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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