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General NPI Number Information
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NPI Number | 1518606078
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Entity Type | Organization
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Legal Business Name | DESERVED KINDNESS AGENCY
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 6802 PARAGON PL
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City | RICHMOND
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State | VA
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Zip | 23230-1644
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Country | US
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Telephone | 888-554-8863
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Fax |
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Provider Business Mailing Address
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Address Line | 6802 PARAGON PL
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City | RICHMOND
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State | VA
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Zip | 23230-1644
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Country | US
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Telephone | 888-554-8863
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. TONYA FALTZ
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Credential | SERVICE FACILITATOR
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Telephone | 888-554-8863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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