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General NPI Number Information
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NPI Number | 1285453209
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Entity Type | Organization
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Legal Business Name | PAIDEIA GLOBAL VISION INC.
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1022 AIRPORT RD
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City | BRIDGEWATER
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State | VA
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Zip | 22812
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Country | US
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Telephone | 540-830-8129
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 AIRPORT RD
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City | BRIDGEWATER
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State | VA
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Zip | 22812
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Country | US
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Telephone | 540-830-8129
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FERNANDO SIMEON KIBIKULA ZIATA MANU
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Credential |
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Telephone | 540-830-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #8
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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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Taxonomy #9
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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