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General NPI Number Information
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NPI Number | 1225792385
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Entity Type | Organization
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Legal Business Name | NURTURING NURSES LAB SERVICES LLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 742 THIMBLE SHOALS BLVD STE C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3636
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Country | US
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Telephone | 757-741-8380
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Fax | 757-952-2775
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Provider Business Mailing Address
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Address Line | 742 THIMBLE SHOALS BLVD STE C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3636
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Country | US
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Telephone | 757-741-8380
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | SHEREKA JENKINS
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Credential | NURSE PRACTITIONER
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Telephone | 757-741-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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