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General NPI Number Information
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NPI Number | 1194638338
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Entity Type | Organization
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Legal Business Name | REFUGE OF THE RISING INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 313 HIGH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3712
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Country | US
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Telephone | 757-292-5376
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Fax |
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Provider Business Mailing Address
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Address Line | 302 GREENFIELD CRES
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City | SUFFOLK
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State | VA
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Zip | 23434-4885
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Country | US
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Telephone | 757-292-5376
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APRIL MARIE DAVIS
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Credential | CSAC-SUPERVISEE
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Telephone | 757-292-5376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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