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General NPI Number Information
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NPI Number | 1679064570
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Entity Type | Organization
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Legal Business Name | REACHING ADULTS AND YOUTH FAMILY SERVICES LLC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 1403 GREENVILLE AVE
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City | RICHMOND
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State | VA
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Zip | 23220-6912
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Country | US
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Telephone | 804-308-3948
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 GREENVILLE AVE
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City | RICHMOND
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State | VA
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Zip | 23220-6912
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Country | US
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Telephone | 804-308-3948
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAYMOND EDWARD LONEY
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Credential | QMHP
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Telephone | 804-308-3948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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