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General NPI Number Information
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NPI Number | 1356406284
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Entity Type | Organization
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Legal Business Name | ANDERSON MEDIATION SERVICES, INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 434 GRAVES MILL RD BLDG 100
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City | LYNCHBURG
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State | VA
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Zip | 24502-4208
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Country | US
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Telephone | 434-239-2004
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Fax | 434-239-2005
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Provider Business Mailing Address
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Address Line | 434 GRAVES MILL RD BLDG 100
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City | LYNCHBURG
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State | VA
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Zip | 24502-4208
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Country | US
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Telephone | 434-239-2004
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Fax | 434-239-2005
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ROBERT MICHAEL ANDERSON
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Credential | M.A.
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Telephone | 434-239-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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