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General NPI Number Information
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NPI Number | 1326450586
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Entity Type | Organization
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Legal Business Name | BREAKING BARRIERS IN SCHOOLS & COMMUNITIES,LLC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 3610 NOBLE AVENUE
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City | RICHMOND
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State | VA
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Zip | 23222
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Country | US
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Telephone | 804-986-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 NOBLE AVE
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City | RICHMOND
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State | VA
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Zip | 23222-1834
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Country | US
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Telephone | 804-986-1681
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL DESHARN MILES
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Credential |
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Telephone | 804-986-1681
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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 |
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License Number State |
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