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General NPI Number Information
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NPI Number | 1255769311
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Entity Type | Organization
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Legal Business Name | JOYFUL MIND COUNSELING OF VIRGINIA
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Dates
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Enumeration Date | 10/28/2013
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Last Update Date | 10/28/2013
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Provider Practice Location Address
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Address Line | 1804 B 9TH ST SOUTH
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City | ARLINGTON
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State | VA
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Zip | 22204
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Country | US
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Telephone | 703-651-6959
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Fax |
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Provider Business Mailing Address
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Address Line | 1804B 9TH ST SOUTH
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City | ARLINGTON
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State | VA
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Zip | 22204
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Country | US
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Telephone | 703-651-6959
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROMAN GELMAN
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Credential |
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Telephone | 703-651-6959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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