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General NPI Number Information
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NPI Number | 1942509955
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE INTERVENTIONS FAMILY SERVICES LLC
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 400 TURNER RD #2
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City | RICHMOND
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State | VA
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Zip | 23225-6420
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Country | US
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Telephone | 804-218-0575
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Fax | 804-592-4711
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Provider Business Mailing Address
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Address Line | PO BOX 25393
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City | RICHMOND
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State | VA
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Zip | 23260-5393
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Country | US
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Telephone | 804-218-0575
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MS. TOMISE DASHIKA CROSSIN
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Credential |
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Telephone | 804-218-0575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 112003001
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License Number State | VA
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