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General NPI Number Information
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NPI Number | 1033724216
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Entity Type | Organization
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Legal Business Name | PATRICK HENRY FAMILY SERVICES OPERATIONS
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 1621 ENTERPRISE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-5797
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Country | US
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Telephone | 434-376-2006
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Fax | 434-239-4955
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Provider Business Mailing Address
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Address Line | 1621 ENTERPRISE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-5797
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Country | US
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Telephone | 434-376-2006
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Fax | 434-239-4955
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SANDRA LEWANDOWSKI
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Credential |
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Telephone | 434-376-2006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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