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General NPI Number Information
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NPI Number | 1891469201
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Entity Type | Organization
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Legal Business Name | PARTNERS IN CARE LLC
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 504 COUNTRY CLUB CT
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City | CHESAPEAKE
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State | VA
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Zip | 23322-8028
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Country | US
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Telephone | 757-285-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 CEDAR RD PMB 126
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City | CHESAPEAKE
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State | VA
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Zip | 23322
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Country | US
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Telephone | 757-285-9613
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DORINE E MALFITANO
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Credential |
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Telephone | 757-807-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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