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General NPI Number Information
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NPI Number | 1568745693
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Entity Type | Organization
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Legal Business Name | A COMMUNITY OF PARADIGMS, INC.
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 5600 HAMPSHIRE LANE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-685-7077
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Fax |
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Provider Business Mailing Address
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Address Line | 2476 NIMMO PARKWAY SUITE 115-512
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456
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Country | US
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Telephone | 757-685-7077
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Fax | 757-430-6222
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. SUSAN LYNN TROYANOS
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Credential | PH.D., MAC, CSAC
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Telephone | 757-685-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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