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General NPI Number Information
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NPI Number | 1053277442
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Entity Type | Organization
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Legal Business Name | GROUNDEDSIS
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 6372 MECHANICSVILLE TPKE STE 111
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4705
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Country | US
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Telephone | 804-825-2308
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Fax | 804-964-9870
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Provider Business Mailing Address
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Address Line | 1601 WILLOW LAWN DR STE 304
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City | RICHMOND
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State | VA
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Zip | 23230-3423
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Country | US
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Telephone | 804-825-2308
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Fax | 804-964-9870
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Authorized Official
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Title or Position | OWNER
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Name | IVANA SPENCER
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Credential | APRN,PMHNP-BC
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Telephone | 804-825-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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