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General NPI Number Information
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NPI Number | 1215575220
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Entity Type | Individual
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Provider Name | TIANA M WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 6113 CAMBRIDGE DR W
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City | SUFFOLK
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State | VA
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Zip | 23435-3143
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Country | US
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Telephone | 757-210-4044
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Fax | 757-210-4044
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Provider Business Mailing Address
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Address Line | 6113 CAMBRIDGE DR W, SUFFOLK, VA 23435, USA 6113 CAMBRIDGE DR, W SUFFOLK, VA. 23435
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-807-4207
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Fax | 757-210-4044
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-202215
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | VA
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