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General NPI Number Information
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NPI Number | 1760198238
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Entity Type | Organization
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Legal Business Name | GOLAY HEALTH VENTURES LLC
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 100 CONCOURSE BLVD STE 111
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5642
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Country | US
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Telephone | 804-356-0508
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Fax |
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Provider Business Mailing Address
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Address Line | 3713 SOVEREIGN LN
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City | HENRICO
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State | VA
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Zip | 23233-7628
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Country | US
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Telephone | 804-356-0508
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT GOLAY
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Credential |
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Telephone | 804-356-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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