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General NPI Number Information
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NPI Number | 1255245346
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Entity Type | Organization
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Legal Business Name | WEST HAVENS HUB HOPE & GRACE PSYCHIATRY
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 896 DIXIE AIRPORT RD
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City | MADISON HEIGHTS
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State | VA
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Zip | 24572-4610
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Country | US
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Telephone | 201-500-6992
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Fax | 833-605-4359
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Provider Business Mailing Address
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Address Line | 896 DIXIE AIRPORT RD
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City | MADISON HEIGHTS
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State | VA
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Zip | 24572-4610
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Country | US
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Telephone | 201-500-6992
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Fax | 833-605-4359
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Authorized Official
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Title or Position | OWNER
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Name | TANYA WEST
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Credential | NP
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Telephone | 201-500-6992
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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 |
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License Number State | NULL
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