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General NPI Number Information
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NPI Number | 1588311492
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTH
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 1225 MARTHA CUSTIS DR
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2000
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Country | US
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Telephone | 757-913-7542
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Fax |
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Provider Business Mailing Address
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Address Line | 6677 RICHMOND HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22306-6647
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Country | US
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Telephone | 757-913-7542
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | REMONICA RAINEY
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Credential |
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Telephone | 703-535-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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