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General NPI Number Information
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NPI Number | 1093891335
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Entity Type | Organization
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Legal Business Name | FAMILY PRESERVATION SERVICES LLC
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 5369 PETERS CREEK RD NW
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City | ROANOKE
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State | VA
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Zip | 24019-3849
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Country | US
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Telephone | 540-344-9501
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Fax | 540-344-7162
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Provider Business Mailing Address
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Address Line | 10304 SPOTSYLVANIA AVE SUITE 300
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8602
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Country | US
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Telephone | 540-710-6085
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Fax | 540-710-6419
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Authorized Official
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Title or Position | AVP OF RCM
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Name | MELANIE JOHNSON
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Credential |
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Telephone | 540-710-6085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 15805001
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License Number State | VA
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