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General NPI Number Information
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NPI Number | 1902949373
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Entity Type | Organization
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Legal Business Name | HALL COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1115 1ST ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-4701
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Country | US
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Telephone | 540-344-6411
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Fax | 540-344-2007
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Provider Business Mailing Address
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Address Line | 1115 1ST ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-4701
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Country | US
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Telephone | 540-344-6411
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Fax | 540-344-2007
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE&ADMINSTRATION
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Name | CYNTHIA (CINDY) J GRAVELY
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Credential |
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Telephone | 540-344-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 941
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License Number State | VA
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