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NPI 1255808721

NPI 1255808721 : TRANSITIONAL OPTIONS FOR WOMEN : ROANOKE, VA

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General NPI Number Information
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    NPI Number           |    1255808721
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSITIONAL OPTIONS FOR WOMEN 
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Dates
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    Enumeration Date     |    11/01/2018
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    Last Update Date     |    11/01/2018
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Provider Practice Location Address
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    Address Line         |    1729 PATTERSON AVE SW 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24016-3105
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    Country              |    US
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    Telephone            |    540-512-9979
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    Fax                  |    540-400-6771
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Provider Business Mailing Address
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    Address Line         |    1729 PATTERSON AVE SW 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24016-3105
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    Country              |    US
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    Telephone            |    540-512-9979
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    Fax                  |    540-499-6771
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MS. DOROTHY M OWSLEY 
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    Credential           |    
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    Telephone            |    540-676-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    
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