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General NPI Number Information
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NPI Number | 1316417918
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Entity Type | Organization
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Legal Business Name | TLT CONSULTING
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 9401 COURTHOUSE RD
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6690
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Country | US
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Telephone | 804-533-7444
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Fax | 804-451-4586
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Provider Business Mailing Address
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Address Line | PO BOX 2947
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9118
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Country | US
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Telephone | 804-533-7444
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Fax | 804-451-4586
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. GEORGIA DICKERSON
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Credential |
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Telephone | 804-621-5066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult 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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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