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General NPI Number Information
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NPI Number | 1316075369
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Entity Type | Organization
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Legal Business Name | SOAR 365
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3600 SAUNDERS AVENUE
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City | RICHMOND
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State | VA
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Zip | 23227-4347
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Country | US
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Telephone | 804-358-1874
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Fax | 804-353-0163
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Provider Business Mailing Address
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Address Line | 3600 SAUNDERS AVENUE
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City | RICHMOND
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State | VA
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Zip | 23227-4347
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Country | US
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Telephone | 804-358-1874
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Fax | 804-353-0163
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | SUE MITCHELL
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Credential |
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Telephone | 804-665-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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