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General NPI Number Information
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NPI Number | 1902818990
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Entity Type | Organization
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Legal Business Name | PATRICK COUNTY DEPARTMENT OF SOCIAL SERVICES
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 106 RUCKER ST SUITE 128
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City | STUART
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State | VA
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Zip | 24171-1619
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Country | US
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Telephone | 276-694-3328
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Fax | 276-694-8210
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Provider Business Mailing Address
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Address Line | 106 RUCKER ST SUITE 128
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City | STUART
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State | VA
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Zip | 24171-1619
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Country | US
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Telephone | 276-694-3328
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Fax | 276-694-8210
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Authorized Official
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Title or Position | SENIOR SOCIAL WORKER
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Name | MRS. DEBORAH R. TATUM
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Credential | S.W.
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Telephone | 276-694-3328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | VA
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