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General NPI Number Information
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NPI Number | 1407640345
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Entity Type | Organization
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Legal Business Name | NATIONZ FOUNDATION INCORPORATED
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1603 SANTA ROSA RD RM 101
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City | RICHMOND
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State | VA
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Zip | 23229-5010
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Country | US
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Telephone | 804-716-7597
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Fax | 804-716-7668
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Provider Business Mailing Address
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Address Line | 1603 SANTA ROSA RD RM 101
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City | RICHMOND
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State | VA
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Zip | 23229-5010
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Country | US
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Telephone | 804-716-7597
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Fax | 804-716-7668
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ZAKIA MCKENSEY
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Credential |
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Telephone | 804-716-7597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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