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General NPI Number Information
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NPI Number | 1891859179
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING SERVICE OF DURHAM, INC.
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1058 W CLUB BLVD SUITE 6662
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City | DURHAM
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State | NC
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Zip | 27701-1104
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Country | US
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Telephone | 919-416-4400
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Fax | 919-416-4404
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Provider Business Mailing Address
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Address Line | 1058 W CLUB BLVD SUITE 6662
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City | DURHAM
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State | NC
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Zip | 27701-1104
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Country | US
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Telephone | 919-416-4400
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Fax | 919-416-4404
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALBERT HUNTOON
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Credential |
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Telephone | 919-416-4400
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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 |
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License Number State |
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