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General NPI Number Information
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NPI Number | 1922422302
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Entity Type | Organization
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Legal Business Name | A HIGHER PURPOSE' THERAPEUTIC AND SPIRITUAL COUNSELING CENTER
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 5402 GLENSIDE DR STE D
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City | HENRICO
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State | VA
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Zip | 23228-3994
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Country | US
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Telephone | 804-756-7010
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Fax | 804-756-7007
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Provider Business Mailing Address
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Address Line | PO BOX 3273
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City | HENRICO
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State | VA
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Zip | 23228-9705
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Country | US
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Telephone | 804-715-8798
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Fax | 804-756-7007
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. NINA FITZHUGH WELLS
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Credential |
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Telephone | 804-756-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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