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General NPI Number Information
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NPI Number | 1467887612
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Entity Type | Organization
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Legal Business Name | LOUISE W. EGGLESTON CENTER, INC.
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 51 BATTLE RD
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City | HAMPTON
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State | VA
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Zip | 23666-1403
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Country | US
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Telephone | 757-224-9680
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Fax | 757-224-9715
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Provider Business Mailing Address
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Address Line | 51 BATTLE RD
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City | HAMPTON
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State | VA
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Zip | 23666-1403
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Country | US
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Telephone | 757-224-9680
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Fax | 757-224-9715
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Authorized Official
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Title or Position | CFO
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Name | MR. RICKY ALLEN BIGGS
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Credential | CPA
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Telephone | 757-321-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 167
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License Number State | VA
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