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General NPI Number Information
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NPI Number | 1447897269
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Entity Type | Organization
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Legal Business Name | DIRECT CARE OF VIRGINIA
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Dates
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Enumeration Date | 12/01/2019
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Last Update Date | 12/01/2019
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Provider Practice Location Address
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Address Line | 251 ROCKETTS WAY UNIT 203
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City | RICHMOND
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State | VA
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Zip | 23231-3051
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Country | US
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Telephone | 804-874-6544
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Fax | 804-442-7069
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Provider Business Mailing Address
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Address Line | 251 ROCKETTS WAY UNIT 203
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City | RICHMOND
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State | VA
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Zip | 23231-3051
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Country | US
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Telephone | 804-874-6544
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Fax | 804-442-7069
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAMIA M ABDELMAGID
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Credential |
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Telephone | 804-874-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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