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General NPI Number Information
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NPI Number | 1932367356
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Entity Type | Organization
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Legal Business Name | PATHWAYS FOR SUCCESS LLC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 224 JENNINGS ST
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City | BENNETTSVILLE
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State | SC
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Zip | 29512-3987
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Country | US
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Telephone | 919-665-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 DINWIDDIE CT
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City | RALEIGH
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State | NC
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Zip | 27604-4861
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/CASE MANAGER
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Name | ANITA BYRD
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Credential |
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Telephone | 919-538-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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