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General NPI Number Information
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NPI Number | 1255779674
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Entity Type | Organization
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Legal Business Name | RIDGE PLACE FAMILY SERVICES LLC
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 03/08/2019
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Provider Practice Location Address
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Address Line | 5910 RIDGE RD
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City | RICHMOND
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State | VA
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Zip | 23227-1933
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Country | US
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Telephone | 804-382-1151
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Fax | 804-562-3224
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Provider Business Mailing Address
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Address Line | 8115 WESTMEATH LN
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City | RICHMOND
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State | VA
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Zip | 23227-1717
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Country | US
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Telephone | 804-382-1151
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Fax | 804-562-3224
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Authorized Official
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Title or Position | OWNER
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Name | PATTIE ELIZABETH MURPHY
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Credential | QHMP
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Telephone | 804-382-1151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 1848-01-001
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License Number State | VA
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