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General NPI Number Information
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NPI Number | 1699210666
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL VIRGINIA
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 801 WYNDHURST DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-2550
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Country | US
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Telephone | 434-582-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 801 WYNDHURST DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-2550
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Country | US
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Telephone | 434-582-1900
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. ELBERT JAY PARKER III
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Credential |
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Telephone | 434-616-4590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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