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General NPI Number Information
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NPI Number | 1134900020
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Entity Type | Organization
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Legal Business Name | MCQUEEN AND DHILLON ENTERPRISES, LLC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 1624 LASKIN RD STE 736 PMB 1131
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-2345
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Country | US
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Telephone | 757-250-2104
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Fax | 757-425-6257
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Provider Business Mailing Address
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Address Line | 540 22ND ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-4002
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Country | US
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Telephone | 540-247-1196
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Fax |
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Authorized Official
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Title or Position | MEDICATION MANAGEMENT
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Name | MEREDITH DHILLON
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Credential | PA-C
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Telephone | 540-247-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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