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General NPI Number Information
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NPI Number | 1669649364
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Entity Type | Organization
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Legal Business Name | STRONG GIRLS, SMART WOMEN LLC
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 5210 LINGLE LN
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City | RICHMOND
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State | VA
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Zip | 23234-6618
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Country | US
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Telephone | 804-743-1559
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 ENON CHURCH RD
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City | CHESTER
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State | VA
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Zip | 23836-6039
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Country | US
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Telephone | 804-530-1816
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ERICA ANN DENT
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Credential |
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Telephone | 804-239-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 3392
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License Number State | VA
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