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General NPI Number Information
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NPI Number | 1679195895
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Entity Type | Organization
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Legal Business Name | EDGEWOOD GROUP FAMILY SERVICES
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 135 S ADAMS ST
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City | PETERSBURG
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State | VA
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Zip | 23803-4526
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Country | US
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Telephone | 804-912-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 135 S ADAMS ST
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City | PETERSBURG
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State | VA
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Zip | 23803-4526
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Country | US
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Telephone | 804-912-8622
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM TRAVIS CROCKER
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Credential |
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Telephone | 804-356-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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