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General NPI Number Information
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NPI Number | 1821751637
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Entity Type | Organization
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Legal Business Name | TRANSITIONS THE PROCESS OF CHANGE CORPORATION II
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 2124 JEFFERSON DAVIS HWY STE 104
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City | STAFFORD
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State | VA
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Zip | 22554-7264
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Country | US
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Telephone | 703-862-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 PLANK RD # 328
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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 | 703-862-3762
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Fax |
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Authorized Official
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Title or Position | COO, CO-OWNER
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Name | MAYRA MILAGROS ROSATO
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Credential |
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Telephone | 703-862-3762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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