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General NPI Number Information
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NPI Number | 1700113818
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Entity Type | Organization
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Legal Business Name | STRONG YOUTH SERVICES INC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 1090 W 35TH ST STE 6
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City | NORFOLK
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State | VA
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Zip | 23508-3013
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Country | US
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Telephone | 757-339-0877
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Fax | 888-871-3484
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Provider Business Mailing Address
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Address Line | 627 WATER LILLY RD
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City | PORTSMOUTH
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State | VA
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Zip | 23701-0016
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Country | US
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Telephone | 757-339-0877
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Fax | 888-871-3484
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Authorized Official
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Title or Position | CEO OWNER
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Name | WHITTENEY L GUYTON
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Credential |
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Telephone | 757-339-0877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-10612
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License Number State | VA
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