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General NPI Number Information
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NPI Number | 1639240971
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Entity Type | Organization
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Legal Business Name | DEPAUL COMMUNITY RESOURCES
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 5650 HOLLINS RD
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City | ROANOKE
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State | VA
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Zip | 24019-5056
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Country | US
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Telephone | 540-265-8923
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Fax | 540-265-5849
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Provider Business Mailing Address
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Address Line | 5650 HOLLINS RD
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City | ROANOKE
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State | VA
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Zip | 24019-5056
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Country | US
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Telephone | 540-265-8923
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Fax | 540-206-1007
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Authorized Official
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Title or Position | CEO
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Name | RENEE BROWN
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Credential | LPC, CSAC
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Telephone | 540-265-8923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02302006
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02301001
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02303001
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02303002
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02305001
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02308001
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License Number State | VA
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02309001
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02310001
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License Number State | VA
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Taxonomy #11
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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