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General NPI Number Information
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NPI Number | 1295315612
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Entity Type | Organization
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Legal Business Name | OCEAN REINS BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 4445 CORPORATION LN STE 199B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3262
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Country | US
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Telephone | 572-045-7757
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Fax | 757-257-2320
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Provider Business Mailing Address
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Address Line | 4445 CORPORATION LN STE 199B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3262
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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 | PMHNP
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Name | JAMIE DEPUTY
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Credential | PMHNP-BC
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Telephone | 757-204-5775
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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 |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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