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General NPI Number Information
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NPI Number | 1053017467
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Entity Type | Organization
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Legal Business Name | THERAPIWORKS CORPORATION
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 223 E CITY HALL AVE STE 411
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City | NORFOLK
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State | VA
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Zip | 23510-1739
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Country | US
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Telephone | 757-392-7710
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Fax |
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Provider Business Mailing Address
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Address Line | 2008 WINGFIELD AVE
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City | CHESAPEAKE
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State | VA
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Zip | 23324-3746
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Country | US
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Telephone | 757-339-0166
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANITRA HOLLOWAY
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Credential |
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Telephone | 757-339-0166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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