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General NPI Number Information
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NPI Number | 1700033081
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Entity Type | Organization
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Legal Business Name | ACCESS REGIONAL TASKFROCE, INC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 2513 CHAMBERLAYNE AVE
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City | RICHMOND
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State | VA
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Zip | 23222-4214
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Country | US
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Telephone | 804-307-0026
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Fax | 804-525-4313
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Provider Business Mailing Address
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Address Line | PO BOX 6082
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City | RICHMOND
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State | VA
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Zip | 23222-0082
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Country | US
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Telephone | 804-307-0026
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Fax | 804-525-4314
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH TYREICE HACKETT
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Credential |
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Telephone | 804-525-4314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | VA
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