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General NPI Number Information
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NPI Number | 1457505943
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Entity Type | Organization
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Legal Business Name | F.A.C.E.S. COMMUNITY SERVICES
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | 1519 BURROWIN DR
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City | CHESAPEAKE
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State | VA
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Zip | 23321-1878
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Country | US
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Telephone | 757-478-8814
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Fax | 757-465-8093
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Provider Business Mailing Address
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Address Line | 1519 BURROWIN DR
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City | CHESAPEAKE
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State | VA
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Zip | 23321-1878
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Country | US
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Telephone | 757-478-8814
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Fax | 757-465-8093
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIONS OFFICER
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Name | MRS. ADRIANNE SEARS
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Credential |
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Telephone | 757-478-8814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | VA
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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