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General NPI Number Information
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NPI Number | 1174486278
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Entity Type | Organization
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Legal Business Name | LEGACEI LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6001 LAKESIDE AVE STE 16
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City | RICHMOND
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State | VA
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Zip | 23228-5747
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Country | US
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Telephone | 804-381-7845
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Fax |
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Provider Business Mailing Address
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Address Line | 11357 NUCKOLS RD # 2095
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5504
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Country | US
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Telephone | 804-381-7845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEJA WRIGHT
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Credential |
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Telephone | 804-381-7845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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