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General NPI Number Information
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NPI Number | 1104067495
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Entity Type | Organization
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Legal Business Name | ARTS FOR REPLENISHMENT AND CHANGE, PLLC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 530 E MAIN ST STE 420
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City | RICHMOND
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State | VA
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Zip | 23219-2431
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Country | US
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Telephone | 804-305-2295
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Fax | 804-525-5656
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Provider Business Mailing Address
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Address Line | 530 E MAIN ST STE 420
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City | RICHMOND
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State | VA
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Zip | 23219-2431
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Country | US
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Telephone | 804-305-2295
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Fax | 804-525-5656
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. ANNE (ANNIE) READY COFFEY
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Credential | PSY.D.
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Telephone | 804-305-2295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810002538
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License Number State | VA
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