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General NPI Number Information
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NPI Number | 1962971051
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Entity Type | Organization
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Legal Business Name | RANDOLPH COUNTY FAMILY CRISIS CENTER, INC.
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 235 E ACADEMY ST
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City | ASHEBORO
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State | NC
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Zip | 27203-5708
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Country | US
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Telephone | 336-610-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 624 S FAYETTEVILLE ST
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City | ASHEBORO
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State | NC
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Zip | 27203-6581
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Country | US
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Telephone | 336-610-3060
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Fax | 336-610-3062
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DARE SPICER
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Credential |
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Telephone | 336-610-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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