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General NPI Number Information
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NPI Number | 1114345410
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Entity Type | Organization
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Legal Business Name | GAMBRELL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 8014 MIDLOTHIAN TURNPIKE SUITE 202
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City | RICHMOND
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State | VA
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Zip | 23235
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Country | US
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Telephone | 804-525-4068
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Fax | 804-525-4189
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Provider Business Mailing Address
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Address Line | PO BOX 75301
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236
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Country | US
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Telephone | 804-525-4068
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Fax | 804-525-4189
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Authorized Official
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Title or Position | OWNER
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Name | MR. NATHAN A WILLIAMS
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Credential | RN
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Telephone | 804-943-7358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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