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General NPI Number Information
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NPI Number | 1437460375
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Entity Type | Organization
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Legal Business Name | THE NEW Y-CAPP INC.
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 2904 WEST AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-3813
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Country | US
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Telephone | 757-595-3285
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Fax | 757-595-3286
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Provider Business Mailing Address
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Address Line | 1500 BROOK RD
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City | RICHMOND
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State | VA
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Zip | 23220-2308
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Country | US
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Telephone | 804-225-9144
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Fax | 804-225-9145
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Authorized Official
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Title or Position | BILLING ASSISTANT
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Name | MRS. MELISSA DANIELLE PAYNE
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Credential |
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Telephone | 804-225-9144
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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 | 360
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License Number State | VA
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