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General NPI Number Information
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NPI Number | 1326893157
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Entity Type | Individual
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Provider Name | VIRGIL D PERRYMAN III LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 107 S 5TH ST
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City | RICHMOND
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State | VA
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Zip | 23219-3825
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Country | US
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Telephone | 804-819-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 107 S 5TH ST
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City | RICHMOND
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State | VA
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Zip | 23219-3825
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Country | US
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Telephone | 804-819-4100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904015130
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License Number State | VA
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