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General NPI Number Information
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NPI Number | 1720762370
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Entity Type | Organization
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Legal Business Name | VILLAGE AGAINST VIOLENCE
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1806 SUMMIT AVE
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City | RICHMOND
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State | VA
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Zip | 23230-4339
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Country | US
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Telephone | 804-352-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 3930 MEADOWDALE BLVD UNIT 37382
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-7813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAVON RAGSDALE
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Credential |
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Telephone | 804-352-2487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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