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General NPI Number Information
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NPI Number | 1457112567
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Entity Type | Organization
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Legal Business Name | PRESTIGE HEALTHCARE RESOURCES BH LLC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 681 HIOAKS RD
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City | RICHMOND
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State | VA
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Zip | 23225-4043
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Country | US
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Telephone | 703-712-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 681 HIOAKS RD STE G
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City | RICHMOND
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State | VA
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Zip | 23225-4043
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Country | US
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Telephone | 703-712-3066
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NICHOLA MCCARGO
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Credential |
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Telephone | 703-712-3066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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