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General NPI Number Information
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NPI Number | 1891105383
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Entity Type | Organization
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Legal Business Name | IN HOME CLINICAL & CASEWORK SERVICES, INC.
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 1711 CHURCH ST SUITE D
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City | NORFOLK
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State | VA
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Zip | 23504-2303
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Country | US
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Telephone | 757-623-8985
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 CHURCH ST SUITE D
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City | NORFOLK
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State | VA
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Zip | 23504-2303
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Country | US
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Telephone | 757-623-8985
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL DIRECTOR
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Name | DR. BERNARD N CURRY
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Credential | PHD, LCSW, CSOTP
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Telephone | 757-623-8985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 0904002995
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License Number State | VA
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