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General NPI Number Information
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NPI Number | 1699516153
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Entity Type | Organization
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Legal Business Name | LYNCHBURG TWO, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 620 COURT ST
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City | LYNCHBURG
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State | VA
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Zip | 24504-1312
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Country | US
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Telephone | 571-774-9910
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WALKER AVE STE 300
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City | PIKESVILLE
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State | MD
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Zip | 21208-4004
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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 | CORPORATE COMPLIANCE COUNSEL
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Name | MS. CASEY PAPP
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Credential |
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Telephone | 954-818-0531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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