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General NPI Number Information
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NPI Number | 1073400271
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Entity Type | Individual
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Provider Name | CHRISTA ANN VAN GELUWE
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 5301 PROVIDENCE RD STE 90
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4128
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Country | US
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Telephone | 757-467-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 988 CALYPSO LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-6001
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Country | US
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Telephone | 757-641-1940
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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