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General NPI Number Information
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NPI Number | 1023595089
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Entity Type | Organization
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Legal Business Name | COMMUNITY AID, LLC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 9609 DINK LN
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City | GLEN ALLEN
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State | VA
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Zip | 23060-2380
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Country | US
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Telephone | 804-399-2821
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Fax | 804-266-5625
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Provider Business Mailing Address
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Address Line | 9609 DINK LN
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City | GLEN ALLEN
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State | VA
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Zip | 23060-2380
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Country | US
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Telephone | 804-399-2821
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Fax | 804-266-5625
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Authorized Official
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Title or Position | OWNER/SERVICE FACILITATOR
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Name | MRS. CHARLETTA DARVILLE
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Credential |
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Telephone | 804-399-2821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 577087
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License Number State | VA
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