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General NPI Number Information
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NPI Number | 1679737886
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Entity Type | Organization
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Legal Business Name | VIRGINIA SUPPORTIVE HOUSING
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 1010 N THOMPSON ST SUITE 200
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City | RICHMOND
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State | VA
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Zip | 23230-4911
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Country | US
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Telephone | 804-788-6825
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Fax | 804-788-6827
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Provider Business Mailing Address
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Address Line | PO BOX 8585
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City | RICHMOND
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State | VA
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Zip | 23226-0585
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Country | US
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Telephone | 804-836-1051
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Fax | 804-788-6827
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ALICE TOUSIGNANT
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Credential |
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Telephone | 804-836-1051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1003-03-001
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License Number State | VA
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