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General NPI Number Information
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NPI Number | 1316673841
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Entity Type | Organization
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Legal Business Name | CONNECTIONS HEALTHVA, LLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 14011 WORTH AVE STE 150
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4123
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Country | US
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Telephone | 602-416-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 S 7TH AVE STE 105
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City | PHOENIX
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State | AZ
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Zip | 85007-3913
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Country | US
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Telephone | 602-416-7600
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Fax |
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Authorized Official
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Title or Position | PROVIDER NETWORK MANAGMENT ASSOCIAT
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Name | CHERYL BOYLE
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Credential |
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Telephone | 737-600-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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