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General NPI Number Information
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NPI Number | 1760811590
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Entity Type | Organization
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Legal Business Name | CAPP INC.
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 1500 BROOK RD
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City | RICHMOND
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State | VA
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Zip | 23220-2308
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Country | US
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Telephone | 804-225-9144
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Fax | 804-225-9145
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Provider Business Mailing Address
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Address Line | 1500 BROOK RD
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City | RICHMOND
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State | VA
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Zip | 23220-2308
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Country | US
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Telephone | 804-225-9144
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Fax | 804-225-9145
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Authorized Official
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Title or Position | PARTNER
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Name | MISS AMANDA M BATES
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Credential | LCSW, CSOTP, MSW
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Telephone | 619-508-5907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904008043
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License Number State | VA
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