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General NPI Number Information
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NPI Number | 1609389295
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Entity Type | Organization
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Legal Business Name | UNCONDITIONAL CARE & SUPPORTIVE SERVICES, INC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 909 E MAIN ST
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City | RICHMOND
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State | VA
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Zip | 23219-3002
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Country | US
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Telephone | 804-852-8437
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 PORTER ST
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City | RICHMOND
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State | VA
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Zip | 23224-2068
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Country | US
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Telephone | 804-852-8437
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Fax | 757-977-1787
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES CORNELL COLEMAN
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Credential |
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Telephone | 804-852-8437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | VA
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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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