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General NPI Number Information
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NPI Number | 1841891488
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Entity Type | Organization
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Legal Business Name | RVA RECOVERY, LLP
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 5700 WEST GRACE STREET SUITE #100
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 804-447-8029
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Fax | 888-561-5325
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Provider Business Mailing Address
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Address Line | 5700 WEST GRACE STREET SUITE #100
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 804-447-8029
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Fax | 888-561-5325
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Authorized Official
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Title or Position | CO-OWNER
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Name | EDWARD W. BERRY
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Credential | LPC
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Telephone | 804-447-8029
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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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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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