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General NPI Number Information
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NPI Number | 1679695738
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Entity Type | Organization
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Legal Business Name | PRINCE EDWARD COUNTY DEPARTMENT OF SOCIAL SERVICES
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 111 SOUTH ST. P. O. DRAWER 628
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City | FARMVILLE
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State | VA
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Zip | 23901-0628
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Country | US
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Telephone | 434-392-3113
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Fax | 434-392-8453
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Provider Business Mailing Address
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Address Line | 111 SOUTH ST. P. O. DRAWER 628
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City | FARMVILLE
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State | VA
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Zip | 23901-0628
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Country | US
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Telephone | 434-392-3113
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Fax | 434-392-8453
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Authorized Official
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Title or Position | SOCIAL WORK SUPERVISOR
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Name | CYNDI P GABLE
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Credential |
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Telephone | 434-392-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | VA
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