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General NPI Number Information
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NPI Number | 1750077079
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Entity Type | Organization
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Legal Business Name | RAPPAHANNOCK COMPREHENSIVE COMMUNITY SERVICES
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1346 OLD BRIDGE RD STE 201
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2742
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Country | US
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Telephone | 540-534-7674
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 PLANK RD # 122
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5226
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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 | OWNER
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Name | MR. ALSTON SMITH
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Credential |
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Telephone | 571-545-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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