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General NPI Number Information
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NPI Number | 1962915264
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Entity Type | Organization
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Legal Business Name | MIDLANDS HOUSING ALLIANCE INC-TRANSITIONS
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 2025 MAIN ST
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-708-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 MAIN ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2125
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Country | US
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Telephone | 803-708-4861
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS
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Name | KAMEISHA HEPPARD
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Credential | LMSW
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Telephone | 803-708-4861
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 9598
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License Number State | SC
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