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General NPI Number Information
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NPI Number | 1427459114
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST CHILDREN SERVICES OF VIGINIA
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 8012 MIDLOTHIAN TPKE
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5232
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Country | US
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Telephone | 804-560-5511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35384
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-0384
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LISA MONROE
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Credential |
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Telephone | 804-560-5511
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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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