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General NPI Number Information
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NPI Number | 1871973321
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Entity Type | Organization
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Legal Business Name | TOGETHER WE WILL GROW
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Dates
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Enumeration Date | 05/31/2015
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Last Update Date | 05/31/2015
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Provider Practice Location Address
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Address Line | 9005 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29223-5850
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Country | US
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Telephone | 704-222-2810
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8804
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City | COLUMBIA
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State | SC
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Zip | 29202-8804
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Country | US
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Telephone | 704-222-2810
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARMEN JIMENEZ
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Credential | MSW, LCSW, LISWCP
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Telephone | 704-222-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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