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General NPI Number Information
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NPI Number | 1407170970
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH THERAPY ASSOCIATES
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 2025 E MAIN ST SUITE 205
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City | RICHMOND
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State | VA
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Zip | 23223-7069
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Country | US
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Telephone | 804-651-2070
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Fax | 804-744-7678
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Provider Business Mailing Address
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Address Line | 10936 DECOY LN
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City | CHESTERFIELD
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State | VA
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Zip | 23832-7919
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Country | US
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Telephone | 804-651-2070
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Fax | 804-744-7678
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. RACHAEL ELAINE ANDERSON
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Credential | LPC
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Telephone | 804-651-2070
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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 |
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License Number State |
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