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General NPI Number Information
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NPI Number | 1750689741
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Entity Type | Organization
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Legal Business Name | FAMILY ARIZEN CORP
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 530 E MAIN ST SUITE 730
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City | RICHMOND
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State | VA
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Zip | 23219-2418
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Country | US
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Telephone | 804-389-2064
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Fax | 804-782-8627
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Provider Business Mailing Address
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Address Line | 530 E. MAIN STREET SUITE 720
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City | RICHMOND
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State | VA
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Zip | 23219-2322
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Country | US
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Telephone | 804-389-2064
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Fax | 804-782-8627
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Authorized Official
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Title or Position | OWNER
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Name | MS. JOYCE PATTERSON
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Credential |
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Telephone | 804-389-2064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 1531-05-001
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License Number State | VA
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