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General NPI Number Information
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NPI Number | 1548995913
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Entity Type | Organization
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Legal Business Name | ITS ALL ABOUT CARING LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 5833 RICHMOND TAPPAHANNOCK HWY STE 106B
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City | AYLETT
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State | VA
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Zip | 23009-3007
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Country | US
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Telephone | 804-223-0029
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Fax | 804-417-6073
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | SAINT STEPHENS CHURCH
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State | VA
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Zip | 23148-0013
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Country | US
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Telephone | 804-664-2271
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Fax | 804-417-6073
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Authorized Official
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Title or Position | OWNER
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Name | LATRICIA BROADDUS
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Credential | PMHNP-BC
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Telephone | 804-664-2271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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