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General NPI Number Information
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NPI Number | 1376341578
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Entity Type | Organization
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Legal Business Name | PLACE OF PEACE AND PROSPERITY1
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 21 COLUMBIA CT
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3404
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Country | US
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Telephone | 757-393-0476
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Fax | 757-393-0476
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Provider Business Mailing Address
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Address Line | 21 COLUMBIA CT
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City | PORTSMOUTH
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State | VA
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Zip | 23704-3404
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Country | US
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Telephone | 757-393-0476
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Fax | 757-393-0476
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Authorized Official
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Title or Position | QDDP
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Name | RENEE JARMON
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Credential |
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Telephone | 757-393-0476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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