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General NPI Number Information
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NPI Number | 1447121850
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Entity Type | Organization
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Legal Business Name | INCLUSIVE CHILDREN CARE LLC,
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 900 COMMONWEALTH PL STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4530
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Country | US
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Telephone | 804-214-7716
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Fax |
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Provider Business Mailing Address
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Address Line | 2807 N PARHAM RD STE 320
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City | HENRICO
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State | VA
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Zip | 23294-4458
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Country | US
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Telephone | 804-214-7716
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. EYTAN SUSS
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Credential |
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Telephone | 804-214-7716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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