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General NPI Number Information
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NPI Number | 1255144358
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Entity Type | Organization
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Legal Business Name | RIVERS HEALTH & FAMILY SERVICES LLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 2101 EXECUTIVE DR STE 370
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City | HAMPTON
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State | VA
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Zip | 23666-2404
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Country | US
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Telephone | 757-272-5294
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 EXECUTIVE DR STE 370
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City | HAMPTON
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State | VA
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Zip | 23666-2404
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Country | US
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Telephone | 757-272-5294
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | JAMELLE N MASON
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Credential |
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Telephone | 757-272-5294
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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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