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General NPI Number Information
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NPI Number | 1114852100
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Entity Type | Organization
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Legal Business Name | EARTHORA ORCHARD LIVING SERVICES LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 15117 MONTANUS DR
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City | CULPEPER
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State | VA
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Zip | 22701-1676
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Country | US
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Telephone | 571-477-6137
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Fax |
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Provider Business Mailing Address
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Address Line | 15117 MONTANUS DR
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City | CULPEPER
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State | VA
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Zip | 22701-1676
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Country | US
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Telephone | 571-477-6137
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATILDA ACHEAMPOMA BARFI
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Credential | MHP
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Telephone | 571-477-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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