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General NPI Number Information
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NPI Number | 1306092671
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Entity Type | Organization
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Legal Business Name | POSITIVE PATHWAYS, INC
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 1301 OHIO ST
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2313
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Country | US
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Telephone | 757-543-1870
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Fax | 757-502-8139
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Provider Business Mailing Address
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Address Line | 1301 OHIO ST
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2313
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Country | US
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Telephone | 757-543-1870
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Fax | 757-502-8139
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MISS DELESHIA WILLIAMS
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Credential |
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Telephone | 757-543-1870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 105705001
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License Number State | VA
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