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General NPI Number Information
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NPI Number | 1467242370
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Entity Type | Organization
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Legal Business Name | TIMELESS DEDICATION LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 8014 MIDLOTHIAN TPKE STE 318
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5291
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Country | US
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Telephone | 804-866-7050
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Fax | 804-560-5567
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Provider Business Mailing Address
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Address Line | 8014 MIDLOTHIAN TPKE STE 318
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5291
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Country | US
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Telephone | 804-866-7050
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Fax | 804-560-5567
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Authorized Official
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Title or Position | OWNER
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Name | JAQUELL WILSON
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Credential |
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Telephone | 804-866-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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