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General NPI Number Information
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NPI Number | 1750050878
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Entity Type | Organization
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Legal Business Name | BEGINNING TODAY YOUTH SERVICES, LLC
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 119 JACKSON ST
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City | HALIFAX
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State | VA
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Zip | 24558-3803
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Country | US
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Telephone | 434-222-2927
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1871
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City | HALIFAX
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State | VA
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Zip | 24558-1871
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Country | US
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Telephone | 434-222-2927
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | MRS. TAWANDA WATSON MARABLE
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Credential |
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Telephone | 434-222-2927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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