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General NPI Number Information
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NPI Number | 1164391355
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Entity Type | Organization
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Legal Business Name | BODY JOURNEY, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 9460 AMBERDALE DR STE D
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1259
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Country | US
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Telephone | 804-728-2278
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Fax | 804-999-0450
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Provider Business Mailing Address
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Address Line | 9460 AMBERDALE DR STE D
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1259
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Country | US
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Telephone | 804-728-2278
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Fax | 804-999-0450
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELODY E BOXLEY
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Credential | FNP-C, PMHNP-BC
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Telephone | 434-222-5730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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