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General NPI Number Information
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NPI Number | 1952867509
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Entity Type | Organization
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Legal Business Name | CONFIDENT LIVING HOME THERAPY CONSULTING LLC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 8906 W BROAD ST STE F
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City | RICHMOND
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State | VA
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Zip | 23294-5827
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Country | US
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Telephone | 804-351-5824
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Fax | 844-600-2797
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Provider Business Mailing Address
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Address Line | 8906 W BROAD ST STE F
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City | RICHMOND
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State | VA
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Zip | 23294-5827
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Country | US
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Telephone | 804-351-5824
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Fax | 844-600-2797
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | REBECCA MIZZER
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Credential |
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Telephone | 804-351-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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