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General NPI Number Information
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NPI Number | 1952626517
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Entity Type | Organization
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Legal Business Name | ALL ABOUT CHANGE, INCORPORATED
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 850 WADE HAMPTON BLVD STE C
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City | GREENVILLE
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State | SC
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Zip | 29609-4947
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Country | US
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Telephone | 864-704-0931
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Fax | 877-629-7598
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Provider Business Mailing Address
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Address Line | 850 WADE HAMPTON BLVD STE C
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City | GREENVILLE
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State | SC
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Zip | 29609-4947
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Country | US
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Telephone | 864-704-0931
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Fax | 877-629-7598
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KELLY B ROSEBERRY
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Credential | EDS, LMFT, CCCJS
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Telephone | 864-704-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 4497
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4497
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License Number State | SC
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