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General NPI Number Information
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NPI Number | 1043077670
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Entity Type | Organization
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Legal Business Name | MISS JADA MEREDITH LLC
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 153 WINDSOR CASTLE DR APT H
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-1963
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Country | US
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Telephone | 757-510-2469
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Fax | 757-527-2275
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Provider Business Mailing Address
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Address Line | 153 WINDSOR CASTLE DR APT H
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-1963
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Country | US
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Telephone | 757-510-2469
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Fax | 757-527-2275
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Authorized Official
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Title or Position | MANAGER, OWNER
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Name | JADA MEREDITH
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Credential |
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Telephone | 757-510-2469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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