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General NPI Number Information
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NPI Number | 1124983127
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Entity Type | Organization
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Legal Business Name | IT'S YOUR CHOICE LLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 223 E CITY HALL AVE STE 320
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City | NORFOLK
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State | VA
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Zip | 23510-1713
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Country | US
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Telephone | 757-439-9936
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Fax |
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Provider Business Mailing Address
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Address Line | 6016 BROOKWOOD DR
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City | SUFFOLK
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State | VA
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Zip | 23435-2008
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Country | US
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Telephone | 757-439-9936
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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. ANGELA M LASSITER
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Credential |
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Telephone | 757-439-9936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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