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General NPI Number Information
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NPI Number | 1790557015
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Entity Type | Organization
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Legal Business Name | NEW PATTERNS VA LLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 10431 PATTERSON AVE # C21
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City | HENRICO
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State | VA
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Zip | 23238-5101
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Country | US
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Telephone | 786-706-7793
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Fax |
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Provider Business Mailing Address
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Address Line | 25 ROBERT PITT DR STE 106
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City | MONSEY
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State | NY
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Zip | 10952-3366
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Country | US
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Telephone | 845-709-0972
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHOLOM SWIMER
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Credential |
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Telephone | 786-706-7793
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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