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General NPI Number Information
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NPI Number | 1083620744
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Entity Type | Organization
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Legal Business Name | VELDOT RESIDENTIAL SERVICES, LLC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4000 LAURELWOOD RD
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City | RICHMOND
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State | VA
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Zip | 23234-3220
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Country | US
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Telephone | 804-675-7072
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Fax | 804-675-0469
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Provider Business Mailing Address
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Address Line | 4000 LAURELWOOD RD
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City | RICHMOND
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State | VA
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Zip | 23234-3220
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Country | US
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Telephone | 804-675-7072
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Fax | 804-675-0469
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALEAVELLE COX
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Credential | PHD
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Telephone | 804-675-7072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 579
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License Number State | VA
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