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General NPI Number Information
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NPI Number | 1124295530
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Entity Type | Organization
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Legal Business Name | GUIDING YOUNG MINDS LLC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 526 DABBS HOUSE RD
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City | RICHMOND
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State | VA
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Zip | 23223-2604
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Country | US
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Telephone | 804-264-8214
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Fax |
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Provider Business Mailing Address
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Address Line | 129 WILKINSON ESTATES DR
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City | RICHMOND
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State | VA
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Zip | 23227-2128
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Country | US
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Telephone | 804-658-3643
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SILVANUS N. THROWER
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Credential |
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Telephone | 804-647-1792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | SS-273-05
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License Number State | VA
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