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General NPI Number Information
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NPI Number | 1720527518
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Entity Type | Organization
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Legal Business Name | GLOBAL CLINICAL GROUP, LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 310 TURNER RD STE P
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-6400
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Country | US
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Telephone | 804-225-9144
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Fax |
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Provider Business Mailing Address
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Address Line | 310 TURNER RD STE P
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-6400
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Country | US
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Telephone | 804-225-9144
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | DONNA Z PIERCE-BAYLOR
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Credential |
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Telephone | 804-225-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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