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General NPI Number Information
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NPI Number | 1538120670
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Entity Type | Organization
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Legal Business Name | DANVILLE-PITTSYLVANIA COMMUNITY SERVICES
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 245 HAIRSTON ST
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City | DANVILLE
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State | VA
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Zip | 24540-4137
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Country | US
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Telephone | 434-799-0456
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Fax | 434-793-4201
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Provider Business Mailing Address
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Address Line | 245 HAIRSTON ST
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City | DANVILLE
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State | VA
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Zip | 24540-4137
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Country | US
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Telephone | 434-799-0456
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Fax | 434-793-4201
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES F. BEBEAU
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Credential | LPC
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Telephone | 434-799-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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