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General NPI Number Information
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NPI Number | 1841690518
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Entity Type | Organization
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Legal Business Name | YOUTH ADULT AWARENESS NEEDS GROUP (YAANG) LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 7908-A MARSHALL AVENUE
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City | NEWPORT NEWS
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State | VA
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Zip | 23605-2273
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Country | US
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Telephone | 757-586-5370
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Fax |
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Provider Business Mailing Address
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Address Line | 7908-A MARSHALL AVENUE
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City | NEWPORT NEWS
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State | VA
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Zip | 23605-2273
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Country | US
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Telephone | 757-586-5370
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. TAMARA MARSELLA BROWN
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Credential | BA
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Telephone | 757-583-5370
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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 | 205303001
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License Number State | VA
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