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General NPI Number Information
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NPI Number | 1043084718
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Entity Type | Individual
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Provider Name | KEWARIN PINSRI NEAL
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 111 ELM TREE CT
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City | SUFFOLK
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State | VA
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Zip | 23435-2278
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Country | US
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Telephone | 757-774-7301
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Fax |
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Provider Business Mailing Address
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Address Line | 4857 BENNETTS PASTURE RD STE 5359
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City | SUFFOLK
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State | VA
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Zip | 23435-1403
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Country | US
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Telephone | 757-774-7301
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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