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General NPI Number Information
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NPI Number | 1518876820
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Entity Type | Organization
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Legal Business Name | ASCENDING PHOENIX SERVICES
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 5349 BAXTER RD
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City | DISPUTANTA
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State | VA
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Zip | 23842-3801
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Country | US
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Telephone | 757-362-6691
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 WILLOW LAWN DRIVE STE 304 BOX # 1202
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City | RICHMOND
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State | VA
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Zip | 23230
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Country | US
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Telephone | 757-362-6691
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Fax |
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Authorized Official
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Title or Position | CFO/ CHIEF FINANCIAL OFFICER
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Name | OZZIE RICHARD DELOACH
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Credential |
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Telephone | 757-362-6691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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