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General NPI Number Information
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NPI Number | 1447940523
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Entity Type | Organization
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Legal Business Name | NUEROHEALTH SOLUTIONS OF VA LLC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 877-465-4384
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Fax | 877-465-4384
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Provider Business Mailing Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 877-465-4384
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Fax | 877-465-4384
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Authorized Official
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Title or Position | MGR/MEMBER
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Name | ROBERT M ROTH
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Credential | ESQ.
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Telephone | 877-465-4384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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