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General NPI Number Information
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NPI Number | 1871700849
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SERVICES
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 543 NORTH ST CHILD AND FAMILY SERVICES ARTP
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2766
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Country | US
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Telephone | 508-984-4175
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Fax | 508-984-3563
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Provider Business Mailing Address
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Address Line | 11 DR BRALEY RD
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City | EAST FREETOWN
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State | MA
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Zip | 02717-1817
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Country | US
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Telephone | 508-984-4175
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Fax | 508-984-3563
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Authorized Official
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Title or Position | PROGRAM COORDINATOR
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Name | JENNIFER M KILROY
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Credential | MA
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Telephone | 508-984-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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