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General NPI Number Information
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NPI Number | 1710544283
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTH
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 8350 RICHMOND HWY STE 301
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City | ALEXANDRIA
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State | VA
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Zip | 22309-2344
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Country | US
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Telephone | 703-535-5538
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4320
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City | GLEN ALLEN
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State | VA
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Zip | 23058-4320
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Country | US
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Telephone | 703-778-0639
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | REMONICA RAINEY
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Credential |
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Telephone | 703-778-0639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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