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General NPI Number Information
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NPI Number | 1447744669
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Entity Type | Organization
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Legal Business Name | VIRTUE STANDARDS LLC
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 234 W SCHOOL ST
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City | RIDGELAND
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State | MS
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Zip | 39157
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Country | US
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Telephone | 601-497-7551
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Fax | 601-510-9291
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Provider Business Mailing Address
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Address Line | 234 W SCHOOL ST
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City | RIDGELAND
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State | MS
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Zip | 39157-2707
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Country | US
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Telephone | 601-497-7551
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Fax | 601-510-9291
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Authorized Official
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Title or Position | OWNER
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Name | ROGENIA PARKER
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Credential | CLINICAL SOCIAL WORK
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Telephone | 601-497-7551
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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 | C9283
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | C9283
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | C9283
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | C9283
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | C9283
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License Number State | MS
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