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General NPI Number Information
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NPI Number | 1164372983
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Entity Type | Individual
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Provider Name | JESSICA KNOX HAINES FAHEY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 2301 N PARHAM RD STE 5
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City | RICHMOND
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State | VA
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Zip | 23229-3171
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Country | US
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Telephone | 804-270-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 OLD MAIN ST APT 335
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City | HENRICO
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State | VA
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Zip | 23231-3012
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Country | US
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Telephone | 985-249-4146
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 24196224
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License Number State | VA
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