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General NPI Number Information
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NPI Number | 1508540766
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Entity Type | Individual
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Provider Name | ELIZABETH POWERS
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Gender | Female
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 1700 TURNER RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-6941
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Country | US
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Telephone | 804-523-6202
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Fax | 804-447-4669
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Provider Business Mailing Address
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Address Line | 5673 AIRPORT RD
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City | ROANOKE
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State | VA
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Zip | 24012-1119
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Country | US
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Telephone | 540-529-8543
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Fax | 540-400-7736
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-273577
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License Number State | VA
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