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General NPI Number Information
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NPI Number | 1700197506
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Entity Type | Organization
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Legal Business Name | STRATAGEM CONNECTION, LLC
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 501 E FRANKLIN ST SUITE 420
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City | RICHMOND
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State | VA
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Zip | 23219-2322
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Country | US
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Telephone | 804-521-4427
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Fax | 186-692-3438
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Provider Business Mailing Address
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Address Line | 501 E FRANKLIN ST SUITE 420
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City | RICHMOND
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State | VA
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Zip | 23219-2322
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Country | US
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Telephone | 804-521-4427
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Fax | 186-692-3438
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Authorized Official
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Title or Position | CEO
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Name | MS. COURTNEY HARRIS
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Credential | PMP
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Telephone | 804-307-2979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1450-05-001
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License Number State | VA
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