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General NPI Number Information
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NPI Number | 1144601980
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Entity Type | Individual
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Provider Name | TERRINDA ALSTON
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Gender | Female
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 6330 NEWTOWN RD STE 420
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City | NORFOLK
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State | VA
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Zip | 23502-4802
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Country | US
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Telephone | 757-739-4577
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Fax | 833-450-5359
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Provider Business Mailing Address
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Address Line | 4312 GALSTON CT STE 420
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City | CHESAPEAKE
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State | VA
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Zip | 23321-4384
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Country | US
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Telephone | 757-739-4577
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024172512
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License Number State | VA
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