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General NPI Number Information
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NPI Number | 1114805140
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Entity Type | Organization
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Legal Business Name | ICARE THERAPY VA LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 9211 FOREST HILL AVE STE 200
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City | RICHMOND
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State | VA
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Zip | 23235-6877
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Country | US
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Telephone | 303-954-9446
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Fax |
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Provider Business Mailing Address
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Address Line | 825 W END AVE
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City | NEW YORK
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State | NY
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Zip | 10025-5349
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ALEXANDER DENCIGER
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Credential |
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Telephone | 718-354-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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