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General NPI Number Information
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NPI Number | 1659684934
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Entity Type | Organization
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Legal Business Name | TRANSITIONS DAY SUPPORT SERVICES
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 1620 WILLIAMSBURG RD
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City | RICHMOND
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State | VA
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Zip | 23231-1544
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Country | US
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Telephone | 804-914-9544
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Fax | 804-320-7298
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Provider Business Mailing Address
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Address Line | 1620 WILLIAMSBURG RD
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City | RICHMOND
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State | VA
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Zip | 23231-1544
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Country | US
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Telephone | 804-914-9544
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Fax | 804-320-7298
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | MRS. DENISE W. BROWN
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Credential |
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Telephone | 804-914-9544
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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 | 1500
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License Number State | VA
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