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General NPI Number Information
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NPI Number | 1649568874
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Entity Type | Organization
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Legal Business Name | SAVING LOST SOULS, INC.
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 4201 REYNOLDS RIDGE TER
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City | RICHMOND
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State | VA
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Zip | 23223-2266
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Country | US
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Telephone | 804-780-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 REYNOLDS RIDGE TER
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City | RICHMOND
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State | VA
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Zip | 23223-2266
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Country | US
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Telephone | 804-780-9595
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. AARON MCNAIR
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Credential |
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Telephone | 804-922-3637
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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 | 1647
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License Number State | VA
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