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General NPI Number Information
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NPI Number | 1164770038
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Entity Type | Organization
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Legal Business Name | ANOTHER BEGINNING INC
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Dates
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Enumeration Date | 08/26/2012
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Last Update Date | 08/26/2012
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Provider Practice Location Address
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Address Line | 1369 W DANVILLE ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-3901
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Country | US
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Telephone | 434-447-4411
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Fax | 434-447-4414
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Provider Business Mailing Address
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Address Line | 1369 W DANVILLE ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-3901
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Country | US
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Telephone | 434-447-4411
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Fax | 434-447-4414
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Authorized Official
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Title or Position | OWNER
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Name | DWAYLON WHITLEY
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Credential |
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Telephone | 919-649-4757
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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 | 1627
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License Number State | VA
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