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General NPI Number Information
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NPI Number | 1912155847
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Entity Type | Organization
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Legal Business Name | COMMUNITY ALTERNATIVES OF VA
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 3801 LAKE HILLS RD
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City | RICHMOND
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State | VA
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Zip | 23234-3664
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Country | US
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Telephone | 804-714-1812
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Fax | 804-714-1824
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Provider Business Mailing Address
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Address Line | PO BOX 37190
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City | RICHMOND
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State | VA
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Zip | 23234-7190
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Country | US
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Telephone | 804-714-1812
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Fax | 804-714-1824
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Authorized Official
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Title or Position | QA COORDINATOR
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Name | APRIL S DUNKUM
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Credential |
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Telephone | 804-714-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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