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General NPI Number Information
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NPI Number | 1093522583
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Entity Type | Organization
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Legal Business Name | CENTER U WELLNESS AND INTEGRATIVE HEALTHCARE
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 4301 COLINDALE RD APT 208
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2480
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Country | US
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Telephone | 757-912-9083
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Fax |
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Provider Business Mailing Address
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Address Line | 3419 VIRGINIA BEACH BLVD # 5092
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4419
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Country | US
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Telephone | 757-912-9083
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATOYA LOREN PRICE
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Credential | NP
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Telephone | 757-912-9083
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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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