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General NPI Number Information
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NPI Number | 1194047522
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Entity Type | Organization
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Legal Business Name | SHELTERING ARMS THERAPY CLINICS LLC
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 2296 JOHN ROLFE PKWY
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City | RICHMOND
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State | VA
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Zip | 23233-6913
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Country | US
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Telephone | 804-741-7077
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Fax | 804-741-0377
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Provider Business Mailing Address
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Address Line | 8254 ATLEE RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-1844
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Country | US
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Telephone | 804-342-4300
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Fax | 804-342-4316
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. JAMES E. SOK
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Credential | FACHE
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Telephone | 804-342-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | H1899
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License Number State | VA
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