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General NPI Number Information
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NPI Number | 1861337560
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Entity Type | Organization
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Legal Business Name | INTEGRATED PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 505 KRAMER DR
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City | HENRICO
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State | VA
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Zip | 23075-1508
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Country | US
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Telephone | 804-244-3128
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Fax |
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Provider Business Mailing Address
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Address Line | 505 KRAMER DR
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City | HENRICO
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State | VA
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Zip | 23075-1508
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Country | US
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Telephone | 804-244-3128
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAWANDA MAYO
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Credential |
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Telephone | 804-244-3128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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