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General NPI Number Information
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NPI Number | 1093632630
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Entity Type | Organization
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Legal Business Name | CLEARPATH COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 605 N SOUTH ST
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City | PETERSBURG
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State | VA
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Zip | 23803-3046
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Country | US
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Telephone | 804-396-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 7410 HULL STREET RD STE 200 BOX 3142
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235
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Country | US
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Telephone | 804-396-4010
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Fax |
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | JUSTICE PEEBLES
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Credential |
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Telephone | 804-396-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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