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General NPI Number Information
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NPI Number | 1710108592
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Entity Type | Organization
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Legal Business Name | COMMUNITY TRANSITION LLP
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 28TH ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-3907
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Country | US
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Telephone | 757-592-7584
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Fax |
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Provider Business Mailing Address
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Address Line | 479 NELSON DR APT 19
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3404
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Country | US
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Telephone | 757-223-5842
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MISS PRINCETTA DARNELL WOOTEN
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Credential |
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Telephone | 757-592-7584
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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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