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General NPI Number Information
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NPI Number | 1225433253
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Entity Type | Organization
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Legal Business Name | FAITH WORKS ADULT DAY SUPPORT CENTER
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 1588 MOUNTAIN RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3915
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Country | US
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Telephone | 804-918-5928
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Fax | 804-918-5931
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Provider Business Mailing Address
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Address Line | 1588 MOUNTAIN RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3915
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Country | US
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Telephone | 804-918-5928
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Fax | 804-918-5931
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. KRISTI NICOLE WALKER
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Credential | RN
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Telephone | 804-363-8373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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