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General NPI Number Information
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NPI Number | 1598971079
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Entity Type | Organization
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Legal Business Name | TOTAL CARE INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 5132 CRABTREE PL
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3447
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Country | US
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Telephone | 757-483-8805
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Fax | 757-638-9644
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Provider Business Mailing Address
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Address Line | 1540 BATEAU LNDG
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City | CHESAPEAKE
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State | VA
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Zip | 23321-6603
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Country | US
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Telephone | 757-567-8899
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Fax | 757-465-4775
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Authorized Official
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Title or Position | C.E.O.
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Name | MRS. CHERAL WARD DIXON
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Credential |
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Telephone | 757-567-8899
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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 | 405
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License Number State | VA
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