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General NPI Number Information
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NPI Number | 1144732629
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Entity Type | Organization
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Legal Business Name | NBB PSYCHOLOGY PC
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 101 N LYNNHAVEN RD STE 201
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7523
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Country | US
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Telephone | 757-932-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 101 N LYNNHAVEN RD STE 201
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7523
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Country | US
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Telephone | 757-932-2632
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/PRESIDENT
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Name | DR. ANNA CRANE
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Credential | PHD
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Telephone | 757-932-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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