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General NPI Number Information
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NPI Number | 1063210102
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Entity Type | Individual
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Provider Name | DIAMOND LASHAY VOLK
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 414 ALGONQUIN RD
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City | HAMPTON
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State | VA
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Zip | 23661-1605
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Country | US
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Telephone | 757-696-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 2735 JAMESTOWN AVE
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City | HAMPTON
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State | VA
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Zip | 23661-2037
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Country | US
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Telephone | 757-696-7006
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305216365
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License Number State | VA
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