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General NPI Number Information
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NPI Number | 1366572372
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Entity Type | Organization
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Legal Business Name | KIDS IN FOCUS II, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6507 IRONGATE ROAD
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City | RICHMOND
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State | VA
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Zip | 23234
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Country | US
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Telephone | 804-714-1812
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Fax | 804-714-1824
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Provider Business Mailing Address
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Address Line | PO BOX 34686
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City | RICHMOND
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State | VA
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Zip | 23234-0686
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Country | US
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Telephone | 804-714-1812
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Fax | 804-714-1824
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BEA COOK
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Credential |
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Telephone | 804-714-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 53814003
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License Number State | VA
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