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General NPI Number Information
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NPI Number | 1083358295
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Entity Type | Organization
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Legal Business Name | NEW VISION HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 899 OLD CLUBHOUSE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3082
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Country | US
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Telephone | 757-701-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 899 OLD CLUBHOUSE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3082
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Country | US
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Telephone | 757-701-6444
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHATONIA MONIQUE HICKS
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Credential | LCSW-E
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Telephone | 757-701-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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