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General NPI Number Information
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NPI Number | 1184046179
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Entity Type | Organization
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Legal Business Name | ABILITIES BEYOND DISABILITIES LLC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 604 1/2 HIGH ST SUITE 100
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3437
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Country | US
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Telephone | 757-484-7128
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Fax | 757-282-2990
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Provider Business Mailing Address
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Address Line | 604 1/2 HIGH ST SUITE 100
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3437
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Country | US
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Telephone | 757-484-7128
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Fax | 757-282-2990
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SEBRINA EDWARDS
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Credential |
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Telephone | 757-484-7128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | VA
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