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General NPI Number Information
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NPI Number | 1174070957
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Entity Type | Organization
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Legal Business Name | 4 LINK CARES LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 14824 FLOUR MILL CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4255
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Country | US
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Telephone | 804-365-2926
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Fax |
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Provider Business Mailing Address
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Address Line | 14824 FLOUR MILL CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4255
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Country | US
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Telephone | 804-365-2926
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GEZELLE LENORE FERGUSON
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Credential |
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Telephone | 804-365-2926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 1335792
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License Number State | VA
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