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General NPI Number Information
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NPI Number | 1871303875
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Entity Type | Organization
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Legal Business Name | INTEGRITY BUILDERS HOLDING CORPORATION
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 13515 LAWING DR # C
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-6018
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Country | US
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Telephone | 804-461-3003
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Fax | 999-999-9999
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Provider Business Mailing Address
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Address Line | 1170 CUMBERLAND DR
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1928
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Country | US
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Telephone | 804-687-2244
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. LAWRENCE EDWARD WEST JR.
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Credential |
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Telephone | 804-461-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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