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General NPI Number Information
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NPI Number | 1235093824
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Entity Type | Organization
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Legal Business Name | TASK KIDS INC RICHMOND VA
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2920 W BROAD ST STE 215
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City | RICHMOND
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State | VA
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Zip | 23230-5103
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Country | US
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Telephone | 804-988-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 MILL RACE RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-3853
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Country | US
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Telephone | 804-988-1150
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR THERAPIST
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Name | MS. MAYA NICOLE MOORE
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Credential |
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Telephone | 804-349-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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