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General NPI Number Information
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NPI Number | 1245182633
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Entity Type | Individual
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Provider Name | NNEKA CHOTSANI PETERKIN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1030 LOFTIS BLVD STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2999
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Country | US
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Telephone | 757-720-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 N KING ST
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City | HAMPTON
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State | VA
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Zip | 23669-1909
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Country | US
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Telephone | 757-742-9596
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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