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NPI 1629649868

NPI 1629649868 : TALK WORK HEAL PROFESSIONAL SERVICES LLC : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1629649868
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    Entity Type          |    Organization 
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    Legal Business Name  |    TALK WORK HEAL PROFESSIONAL SERVICES LLC 
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Dates
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    Enumeration Date     |    07/08/2021
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    Last Update Date     |    07/08/2021
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Provider Practice Location Address
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    Address Line         |    110 N ROBINSON ST STE 300 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23220-4461
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    Country              |    US
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    Telephone            |    804-937-1164
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    Fax                  |    804-507-2471
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Provider Business Mailing Address
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    Address Line         |    6808 CLIFFORD TOWER WAY 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23231-7203
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    Country              |    US
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    Telephone            |    804-937-1164
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DEBORAH  HOWARD-DOBBINS 
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    Credential           |    LPC
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    Telephone            |    804-937-1164
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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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