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General NPI Number Information
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NPI Number | 1134426562
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Entity Type | Organization
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Legal Business Name | AFTER EFFECT COMMUNITY SERVICES. LLC
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Dates
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Enumeration Date | 02/21/2011
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Last Update Date | 02/21/2011
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Provider Practice Location Address
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Address Line | 3200 MOORE ST
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City | RICHMOND
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State | VA
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Zip | 23230-4422
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Country | US
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Telephone | 804-274-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 PATTERSON AVE STE 14
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City | RICHMOND
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State | VA
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Zip | 23226-2551
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Country | US
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Telephone | 804-274-9348
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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 | MS. KIA ALEXIS PLAYER
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Credential |
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Telephone | 804-274-9348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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