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General NPI Number Information
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NPI Number | 1629703632
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Entity Type | Organization
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Legal Business Name | CLEARR VISSION SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 5350 E & F LEWIS ROAD
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City | SANDSTON
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State | VA
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Zip | 23150
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Country | US
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Telephone | 804-328-1784
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 REMINGTON RIDGE DR
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City | GOODE
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State | VA
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Zip | 24556-2603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | VICTORIA MITCHELL HARRIS
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Credential |
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Telephone | 540-586-1490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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