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General NPI Number Information
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NPI Number | 1619150091
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Entity Type | Organization
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Legal Business Name | TOMORROW'S PROMISE
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Dates
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Enumeration Date | 12/09/2007
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Last Update Date | 12/09/2007
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Provider Practice Location Address
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Address Line | 6719 IRONGATE DR
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City | RICHMOND
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State | VA
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Zip | 23234-2840
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Country | US
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Telephone | 804-743-9258
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 OAKCREST DR
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2337
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Country | US
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Telephone | 703-671-1785
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Fax |
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Authorized Official
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Title or Position | LINCENSED CLINICAL SOCIAL WORKER
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Name | ALLANA TAYLOR
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Credential | LCSW
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Telephone | 703-371-0946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 22004
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License Number State | VA
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