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NPI 1689170946

NPI 1689170946 : RICHMOND THERAPEUTIC SERVICES LLC : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1689170946
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    Entity Type          |    Organization 
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    Legal Business Name  |    RICHMOND THERAPEUTIC SERVICES LLC 
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Dates
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    Enumeration Date     |    04/04/2018
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    Last Update Date     |    04/04/2018
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Provider Practice Location Address
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    Address Line         |    1618 HULL ST # H3 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23224-3806
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    Country              |    US
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    Telephone            |    804-971-4561
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2107 BINFORD LN 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23223-2048
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    Country              |    US
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    Telephone            |    804-971-4561
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     SHUNELL  SAUNDERS 
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    Credential           |    
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    Telephone            |    804-971-4561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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