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General NPI Number Information
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NPI Number | 1952535411
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Entity Type | Organization
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Legal Business Name | F&S PROFESSIONAL SERVICES INC
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 17811 MOORESVILLE RD
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City | MOORESVILLE
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State | NC
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Zip | 28115-6946
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Country | US
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Telephone | 704-712-1042
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Fax |
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Provider Business Mailing Address
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Address Line | 17811 MOORESVILLE RD
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City | MOORESVILLE
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State | NC
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Zip | 28115-6946
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Country | US
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Telephone | 704-712-1042
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SHARON E DEGRAFFENREID
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Credential |
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Telephone | 704-712-1042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | MHL-013134
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License Number State | NC
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