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General NPI Number Information
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NPI Number | 1710132121
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Entity Type | Organization
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Legal Business Name | L M MANAGEMENT SERVICES, INC.
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 625 PINEY FOREST RD STE 402
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City | DANVILLE
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State | VA
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Zip | 24540-2870
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Country | US
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Telephone | 336-598-2368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-0266
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Country | US
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Telephone | 336-598-2368
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LINDA CAMERON MCBRIDE
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Credential |
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Telephone | 434-205-1299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | MHL-032-464
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License Number State | NC
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Taxonomy #2
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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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