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NPI 1215724828

NPI 1215724828 : MARGARET MAHAFFY PMHNP : NEWPORT NEWS, VA

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General NPI Number Information
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    NPI Number           |    1215724828
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET MAHAFFY PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/24/2025
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    825 DILIGENCE DR STE 100 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4271
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    Country              |    US
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    Telephone            |    757-310-6900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    106 MARL RAVINE RD 
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    City                 |    YORKTOWN
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    State                |    VA
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    Zip                  |    23692-4202
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    Country              |    US
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    Telephone            |    
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    0024194372
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    0001180024
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    License Number State |    VA
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