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General NPI Number Information
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NPI Number | 1689906554
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Entity Type | Organization
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Legal Business Name | ENVISION SOLUTIONS LLC
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 3108 N PARHAM RD SUITE 500 B
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City | RICHMOND
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State | VA
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Zip | 23294-4421
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Country | US
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Telephone | 804-728-2034
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Fax | 804-728-2035
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Provider Business Mailing Address
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Address Line | 3108 N PARHAM RD SUITE 500 B
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City | RICHMOND
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State | VA
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Zip | 23294-4421
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Country | US
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Telephone | 804-728-2034
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Fax | 804-728-2035
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HERBERT TYRONE HILTON
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Credential | QMHP
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Telephone | 804-728-2034
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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 | 106005001
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License Number State | VA
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