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NPI 1427824101

NPI 1427824101 : REDEEMING CARE SUPPORT SERVICES, INC. : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1427824101
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    Entity Type          |    Organization 
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    Legal Business Name  |    REDEEMING CARE SUPPORT SERVICES, INC. 
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Dates
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    Enumeration Date     |    12/04/2023
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    Last Update Date     |    12/04/2023
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Provider Practice Location Address
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    Address Line         |    1545 CROSSWAYS BLVD STE 250 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-0218
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    Country              |    US
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    Telephone            |    757-714-6175
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    Fax                  |    757-998-2755
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Provider Business Mailing Address
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    Address Line         |    1545 CROSSWAYS BLVD STE 250 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-0218
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    Country              |    US
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    Telephone            |    757-714-6175
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    Fax                  |    757-998-2755
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. SHERRY L HARRIS 
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    Credential           |    RN
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    Telephone            |    757-714-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD1600X
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    Taxonomy Name        |    Developmental Disabilities Clinic/Center
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    License Number       |    
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    License Number State |    
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