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General NPI Number Information
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NPI Number | 1255651956
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Entity Type | Organization
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Legal Business Name | GOOD NEIGHBOR HOMES, LLC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1407 SUMMIT AVE
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City | RICHMOND
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State | VA
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Zip | 23230-4723
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Country | US
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Telephone | 804-520-8005
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Fax |
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Provider Business Mailing Address
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Address Line | 313 CONGRESS ST
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City | BOSTON
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State | MA
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Zip | 02210-1218
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Country | US
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Telephone | 800-388-5150
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Fax | 617-790-4271
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Authorized Official
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Title or Position | VP & SR. ASST GENERAL COUNSEL
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Name | MARY PATRICIA RODENBERG-ROBERTS
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Credential |
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Telephone | 952-836-2234
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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 | 748
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License Number State | VA
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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