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General NPI Number Information
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NPI Number | 1245750488
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Entity Type | Organization
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Legal Business Name | PHOENIX N PEACE LLC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3297C S CRATER RD
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City | PETERSBURG
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State | VA
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Zip | 23805-9216
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Country | US
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Telephone | 804-862-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 3297C S CRATER RD
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City | PETERSBURG
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State | VA
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Zip | 23805-9216
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Country | US
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Telephone | 804-862-8810
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARILYN C NEWBY
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Credential |
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Telephone | 804-862-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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