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General NPI Number Information
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NPI Number | 1356772339
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Entity Type | Organization
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Legal Business Name | COMMUNITY CONCEPTS, INC.
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 17932 FRALEY BLVD STE 300
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City | DUMFRIES
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State | VA
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Zip | 22026-2456
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Country | US
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Telephone | 703-680-5127
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Fax | 703-878-1202
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Provider Business Mailing Address
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Address Line | 17932 FRALEY BLVD STE 300
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City | DUMFRIES
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State | VA
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Zip | 22026-2456
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Country | US
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Telephone | 703-680-5127
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Fax | 703-878-1202
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Authorized Official
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Title or Position | CGO
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Name | HARRISON THOMAS
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Credential |
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Telephone | 703-680-5127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1206-02-010
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1206-02-006
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1206-01-001
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License Number State | VA
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