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General NPI Number Information
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NPI Number | 1154058402
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Entity Type | Organization
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Legal Business Name | HAMPTON ROADS HEALTH AND WELLNESS CARE LLC
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 885 KEMPSVILLE RD
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City | NORFOLK
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State | VA
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Zip | 23502-3800
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Country | US
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Telephone | 757-271-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 885 KEMPSVILLE RD STE 224
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City | NORFOLK
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State | VA
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Zip | 23502-3800
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Country | US
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Telephone | 757-271-4049
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KATINA KNIGHT
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Credential | FNP-C
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Telephone | 757-752-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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