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General NPI Number Information
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NPI Number | 1679850705
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Entity Type | Organization
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Legal Business Name | FAMILY PRIORITY
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 1317 JAMESTOWN RD SUITE 102B
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City | WILLIAMSBURG
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State | VA
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Zip | 23185
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Country | US
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Telephone | 757-645-3860
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Fax |
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Provider Business Mailing Address
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Address Line | 11350 RANDOM HILLS RD STE 240
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City | FAIRFAX
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State | VA
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Zip | 22030-6044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DORECTOR
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Name | ANNE STOCKBRIDGE54
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Credential |
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Telephone | 703-537-0700
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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 | 469
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License Number State | VA
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