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NPI Code Detail

MEDICARE: THE AUTISM PROGRAM OF VIRGINIA (TAP-VA)

MEDICARE: THE AUTISM PROGRAM OF VIRGINIA (TAP-VA)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548307457
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE AUTISM PROGRAM OF VIRGINIA (TAP-VA)
Provider Business Mailing Address
First Line : 2201 W BROAD ST STE 107
Second Line :
City : RICHMOND
State : VA
Zip : 23220-2022
Country : US
Telephone Number : 804-355-0300
Fax Number : 804-355-0932
Provider Business Practice Location Address
First Line : 4108 E PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2754
Country : US
Telephone Number : 804-355-0300
Fax Number : 804-355-0932
Authorized Official
Title or Position : EXECUTIVE COORDINATOR
Name : MS. TAMMY M BOWEN
Credential :
Telephone Number : 804-355-0300
Provider Enumeration Date : 01/31/2007
Last Update Date : 01/26/2023

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1801318548 — KATHERINE GREGORY RAWLES
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Directions to “THE AUTISM PROGRAM OF VIRGINIA (TAP-VA) ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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