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General NPI Number Information
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NPI Number | 1982009593
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Entity Type | Organization
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Legal Business Name | WORKING WELL, LLC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 4835 S LABURNUM AVE
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City | RICHMOND
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State | VA
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Zip | 23231-2713
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Country | US
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Telephone | 804-226-8989
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Fax | 804-226-8899
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Provider Business Mailing Address
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Address Line | 4835 S LABURNUM AVE
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City | RICHMOND
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State | VA
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Zip | 23231-2713
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Country | US
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Telephone | 804-226-8989
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Fax | 804-226-8899
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DARLENE W. OLIVE
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Credential | FNP-BC, MPH
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Telephone | 804-226-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 0024141333
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License Number State | VA
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