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NPI 1225485030

NPI 1225485030 : ACCESS CHILD AND FAMILY CARE INC : WILLIAMSBURG, VA

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General NPI Number Information
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    NPI Number           |    1225485030
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCESS CHILD AND FAMILY CARE INC 
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Dates
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    Enumeration Date     |    05/21/2016
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    Last Update Date     |    05/21/2016
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Provider Practice Location Address
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    Address Line         |    1769 JAMESTOWN RD SUITE 1B
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    City                 |    WILLIAMSBURG
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    State                |    VA
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    Zip                  |    23185-2324
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    Country              |    US
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    Telephone            |    757-525-2595
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    Fax                  |    757-273-1133
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Provider Business Mailing Address
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    Address Line         |    1769 JAMESTOWN RD SUITE 1B
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    City                 |    WILLIAMSBURG
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    State                |    VA
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    Zip                  |    23185-2324
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    Country              |    US
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    Telephone            |    757-525-2595
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    Fax                  |    757-273-1133
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     JEANNE SOVEK CORNETT 
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    Credential           |    RN
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    Telephone            |    757-525-2595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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    License Number       |    
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    License Number State |    
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