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General NPI Number Information
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NPI Number | 1861807166
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Entity Type | Organization
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Legal Business Name | CIRCLE CENTER ADULT DAY SERVICES
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 4900 W MARSHALL ST
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City | RICHMOND
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State | VA
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Zip | 23230-3105
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Country | US
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Telephone | 804-355-5717
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Fax | 804-358-3866
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Provider Business Mailing Address
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Address Line | 4900 W MARSHALL ST
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City | RICHMOND
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State | VA
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Zip | 23230-3105
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Country | US
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Telephone | 804-355-5717
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Fax | 804-358-3866
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Authorized Official
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Title or Position | CEO
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Name | LORY PHILLIPPO
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Credential |
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Telephone | 804-355-5717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | VA
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