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General NPI Number Information
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NPI Number | 1609260306
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Entity Type | Organization
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Legal Business Name | ABRAHAM YOUTH & FAMILY SERVICES
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1419 W MAIN ST
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City | RICHMOND
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State | VA
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Zip | 23220-4629
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Country | US
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Telephone | 804-675-9204
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Fax | 804-282-0040
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Provider Business Mailing Address
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Address Line | 1510 WILLOW LAWN DR
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City | RICHMOND
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State | VA
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Zip | 23230-3429
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Country | US
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Telephone | 804-675-9204
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Fax | 804-282-0040
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Authorized Official
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Title or Position | CEO
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Name | MR. ANCELL SHAW HAMLIN
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Credential |
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Telephone | 804-955-8699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | T67148173
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License Number State | VA
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