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General NPI Number Information
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NPI Number | 1275483794
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Entity Type | Organization
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Legal Business Name | A WONDERFUL OUTLOOK LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 745 WESTOVER DR STE C
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City | DANVILLE
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State | VA
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Zip | 24541-4628
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Country | US
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Telephone | 434-857-5856
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Fax | 434-857-5838
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Provider Business Mailing Address
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Address Line | 225 SEDGEFIELD LN
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City | DANVILLE
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State | VA
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Zip | 24541-6105
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Country | US
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Telephone | 434-857-5856
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Fax | 434-857-5838
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA WALKER-JOHNSON
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Credential |
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Telephone | 434-857-5856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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