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General NPI Number Information
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NPI Number | 1417222522
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Entity Type | Organization
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Legal Business Name | PARALLEL BEHAVIOR SERVICES
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 6022 JEFFERSON AVE SUITE 100
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City | NEWPORT NEWS
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State | VA
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Zip | 23605-3000
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Country | US
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Telephone | 757-380-0385
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Fax | 757-337-2919
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Provider Business Mailing Address
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Address Line | 6022 JEFFERSON AVE SUITE 100
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City | NEWPORT NEWS
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State | VA
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Zip | 23605-3000
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Country | US
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Telephone | 757-380-0385
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Fax | 757-337-2919
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LEON ANDREW SANKOFA SR.
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Credential | MSW
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Telephone | 757-380-0385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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