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General NPI Number Information
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NPI Number | 1306629977
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Entity Type | Organization
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Legal Business Name | VIRGINIA CONSUMER-DIRECTED SERVICES
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 700 TECH CENTER PKWY STE 200-109
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 757-949-5666
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Fax | 757-290-8625
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Provider Business Mailing Address
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Address Line | 700 TECH CENTER PKWY STE 200-109
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 757-949-5666
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Fax | 757-250-8625
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ISAIAH HOBBS
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Credential | SF
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Telephone | 757-949-5666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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