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General NPI Number Information
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NPI Number | 1154702876
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Entity Type | Organization
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Legal Business Name | ADULT DAY CENTER OF VIRGINIA
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 5601 HULL STREET RD
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City | RICHMOND
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State | VA
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Zip | 23224-2839
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Country | US
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Telephone | 804-232-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 HULL STREET RD
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City | RICHMOND
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State | VA
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Zip | 23224-2839
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Country | US
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Telephone | 804-232-5030
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GERRY RAWLINSON
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Credential | RN
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Telephone | 804-232-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ADC 1082411
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License Number State | VA
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