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General NPI Number Information
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NPI Number | 1083778039
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL ALTERNATIVES, PLC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 219 E DAVIS ST STE 310
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City | CULPEPER
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State | VA
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Zip | 22701-3001
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Country | US
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Telephone | 540-825-2788
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Fax | 540-825-1244
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Provider Business Mailing Address
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Address Line | 219 E DAVIS ST STE 310
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City | CULPEPER
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State | VA
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Zip | 22701-3001
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Country | US
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Telephone | 540-825-2788
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Fax | 540-825-1244
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Authorized Official
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Title or Position | PARTNER
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Name | RONALD EUGENE NOLLEY
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Credential | L.C.S.W.
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Telephone | 540-825-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904001123
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904001366
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License Number State | VA
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