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General NPI Number Information
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NPI Number | 1437859402
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Entity Type | Organization
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Legal Business Name | FAMILY OF PEACE LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 5406 CALAVETTI CT
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4184
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Country | US
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Telephone | 804-389-6178
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Fax | 800-573-2218
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Provider Business Mailing Address
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Address Line | 5406 CALAVETTI CT
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4184
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Country | US
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Telephone | 804-389-6178
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Fax | 800-573-2218
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Authorized Official
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Title or Position | CEO
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Name | MS. ASHLEE NICOLE PRINGLE
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Credential |
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Telephone | 804-389-6178
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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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