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General NPI Number Information
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NPI Number | 1881880367
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Entity Type | Organization
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Legal Business Name | ASSOCIATED FAMILY AND GROUP
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 3212 SKIPWITH RD SUITE 104
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City | RICHMOND
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State | VA
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Zip | 23294-4413
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Country | US
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Telephone | 804-270-4068
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Fax | 804-273-0851
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Provider Business Mailing Address
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Address Line | 3212 SKIPWITH RD SUITE 104
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City | RICHMOND
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State | VA
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Zip | 23294-4413
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Country | US
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Telephone | 804-270-4068
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Fax | 804-273-0851
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY T LLOYD
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Credential | LCSW
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Telephone | 804-270-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904006248
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License Number State | VA
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