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General NPI Number Information
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NPI Number | 1841697752
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Entity Type | Organization
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Legal Business Name | COMMUNITY ALTERNATIVES VIRGINIA, INC.
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 180 TEEL ST
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-2564
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Country | US
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Telephone | 540-381-3940
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 LINN STATION RD
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City | LOUISVILLE
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State | KY
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Zip | 40223-3808
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Country | US
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Telephone | 502-394-2100
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Fax |
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Authorized Official
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Title or Position | ASSOC. GEN. COUNSEL/PRIVACY OFFICER
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Name | MS. DEENA G. OMBRES
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Credential |
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Telephone | 502-394-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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