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NPI 1609784834

NPI 1609784834 : LIVING STREAM CHD LLC : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1609784834
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIVING STREAM CHD LLC 
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Dates
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    Enumeration Date     |    08/29/2026
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    Last Update Date     |    08/29/2026
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Provider Practice Location Address
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    Address Line         |    8401 MAYLAND DR STE V 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23294-4648
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    Country              |    US
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    Telephone            |    948-209-0996
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    Fax                  |    948-209-0996
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Provider Business Mailing Address
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    Address Line         |    303 COCKLETOWN RD 
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    City                 |    YORKTOWN
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    State                |    VA
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    Zip                  |    23692-4020
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    Country              |    US
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    Telephone            |    948-209-0996
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    Fax                  |    948-209-0996
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Authorized Official
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    Title or Position    |    CLINICAL PSYCHOLOGIST
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    Name                 |    DR. CHRISTINA LM HILL 
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    Credential           |    PH.D.
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    Telephone            |    948-209-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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