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General NPI Number Information
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NPI Number | 1164656179
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Entity Type | Individual
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Provider Name | ELEANOR R HOSKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 2405 W MAIN ST STE 6
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City | RICHMOND
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State | VA
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Zip | 23220-4448
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Country | US
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Telephone | 804-873-3774
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Fax | 804-359-3431
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Provider Business Mailing Address
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Address Line | 11013 W BROAD ST
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6017
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Country | US
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Telephone | 804-426-2422
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007113
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License Number State | VA
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