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General NPI Number Information
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NPI Number | 1982120986
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Entity Type | Organization
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Legal Business Name | MY VOICE MY CHOICE, LLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 21146 BAYSIDE RD
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City | ONANCOCK
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State | VA
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Zip | 23417-2110
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Country | US
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Telephone | 757-787-4948
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Fax |
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Provider Business Mailing Address
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Address Line | 3385 MAIN ST
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City | EXMORE
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State | VA
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Zip | 23350-4715
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Country | US
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Telephone | 757-787-4948
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MISS DENISE A TOPPING
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Credential |
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Telephone | 757-787-4948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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