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General NPI Number Information
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NPI Number | 1699667766
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO SUCCESS, LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 11373 CROMWELL CT # ANA
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City | PRINCE WILLIAM
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State | VA
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Zip | 22192-1119
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Country | US
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Telephone | 718-208-8349
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Fax | 709-490-1869
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Provider Business Mailing Address
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Address Line | 11373 CROMWELL CT
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City | PRINCE WILLIAM
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State | VA
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Zip | 22192-1119
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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 | OWNER
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Name | JAMAAL ALLAH
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Credential |
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Telephone | 804-737-1122
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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 |
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License Number State |
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