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General NPI Number Information
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NPI Number | 1588300131
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Entity Type | Organization
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Legal Business Name | TUMS FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 206 TEMPLE AVE SUIT C
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-362-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 206 TEMPLE AVE SUIT C
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-362-2900
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. CHINYERE HALLIDAY ENYIUKWU
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Credential | PHD
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Telephone | 323-497-7039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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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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