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General NPI Number Information
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NPI Number | 1902652761
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH CARING CONNECTIONS
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 605 N COURTHOUSE RD STE 201B
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4068
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Country | US
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Telephone | 804-946-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 11801 BIRDIE LN
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City | CHESTER
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State | VA
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Zip | 23831-1600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DANIELLE ALSTON
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Credential |
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Telephone | 804-519-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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