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General NPI Number Information
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NPI Number | 1689103426
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Entity Type | Organization
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Legal Business Name | CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING, INC.
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 06/06/2017
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Provider Practice Location Address
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Address Line | 501 12TH STREET, SUITE A
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City | LYNCHBURG
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State | VA
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Zip | 24504
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Country | US
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Telephone | 434-385-9070
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Fax | 434-385-9209
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Provider Business Mailing Address
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Address Line | P.O. BOX 1390
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City | LYNCHBURG
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State | VA
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Zip | 24505
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Country | US
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Telephone | 434-385-9070
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Fax | 434-385-9209
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEBORAH SILVERMAN
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Credential |
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Telephone | 434-385-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001165705
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License Number State | VA
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