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General NPI Number Information
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NPI Number | 1578246799
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Entity Type | Organization
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Legal Business Name | UNITED PATHS SERVICES LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 4951 HOPKINS RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-3660
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Country | US
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Telephone | 804-306-2578
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Fax |
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Provider Business Mailing Address
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Address Line | 4951 HOPKINS RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-3660
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Country | US
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Telephone | 804-306-2578
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIM GRIFFIN
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Credential |
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Telephone | 804-306-2578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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