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General NPI Number Information
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NPI Number | 1629158159
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Entity Type | Organization
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Legal Business Name | CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 222 W 19TH ST
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City | NORFOLK
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State | VA
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Zip | 23517-2218
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Country | US
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Telephone | 757-622-7017
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Fax | 757-640-8402
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Provider Business Mailing Address
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Address Line | 222 W 19TH ST
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City | NORFOLK
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State | VA
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Zip | 23517-2218
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Country | US
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Telephone | 757-622-7017
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Fax | 757-640-8402
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MS. BRENDA LUVERNE JONES
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Credential |
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Telephone | 757-622-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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