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General NPI Number Information
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NPI Number | 1598527731
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Entity Type | Organization
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Legal Business Name | TRUE RECOVERY RVA, LLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 9003 QUIOCCASIN RD
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City | HENRICO
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State | VA
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Zip | 23229-5536
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Country | US
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Telephone | 804-929-8054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2549
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City | GLEN ALLEN
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State | VA
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Zip | 23058-2549
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Country | US
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Telephone | 804-929-8054
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COLEMAN MUNDIE
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Credential |
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Telephone | 804-929-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 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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