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General NPI Number Information
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NPI Number | 1285999169
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Entity Type | Organization
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Legal Business Name | HEALTHWAYS
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Dates
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Enumeration Date | 07/07/2012
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Last Update Date | 07/07/2012
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Provider Practice Location Address
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Address Line | 6800 FLEETWOOD RD #908
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City | MC LEAN
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State | VA
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Zip | 22101-3620
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Country | US
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Telephone | 301-675-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 FLEETWOOD RD #908
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City | MC LEAN
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State | VA
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Zip | 22101-3620
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Country | US
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Telephone | 301-675-5295
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Fax |
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Authorized Official
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Title or Position | LCC
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Name | JANICE MCKENZIE
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Credential | RN
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Telephone | 301-675-5295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0001210014
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License Number State | VA
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