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General NPI Number Information
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NPI Number | 1598291247
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Entity Type | Organization
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Legal Business Name | EXZIS LLC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 742 WINDOMERE AVE
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City | RICHMOND
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State | VA
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Zip | 23227-2957
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Country | US
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Telephone | 770-334-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 742 WINDOMERE AVE
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City | RICHMOND
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State | VA
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Zip | 23227-2957
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Country | US
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Telephone | 804-806-1133
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. EBONY D NARH
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Credential | LMHP-S
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Telephone | 804-522-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | VA
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