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General NPI Number Information
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NPI Number | 1245715036
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Entity Type | Organization
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Legal Business Name | YWCA RICHMOND
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 6 N 5TH ST
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City | RICHMOND
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State | VA
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Zip | 23219-2239
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Country | US
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Telephone | 804-643-6761
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Fax | 804-643-0734
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Provider Business Mailing Address
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Address Line | 6 N 5TH ST
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City | RICHMOND
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State | VA
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Zip | 23219-2239
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Country | US
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Telephone | 804-643-6761
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Fax | 804-643-0734
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Authorized Official
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Title or Position | CONSULTANT
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Name | JENNIFER JOHNSON
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Credential | LPC
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Telephone | 540-241-1257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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