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General NPI Number Information
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NPI Number | 1548687387
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Entity Type | Organization
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Legal Business Name | BCD TREATMENT CENTER
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 515 CENTRAL DR SUITE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5274
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Country | US
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Telephone | 757-802-9221
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Fax |
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Provider Business Mailing Address
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Address Line | 515 CENTRAL DR SUITE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5274
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Country | US
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Telephone | 757-802-9221
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DONALD S HONEYCUTT
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Credential |
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Telephone | 757-802-9221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | VA
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