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General NPI Number Information
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NPI Number | 1316684228
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Entity Type | Organization
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Legal Business Name | NP ON DEMAND LLC
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 4501 N WITCHDUCK RD STE E
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6217
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Country | US
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Telephone | 757-821-7477
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Fax | 757-383-9660
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Provider Business Mailing Address
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Address Line | 4501 N WITCHDUCK RD STE E
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6217
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Country | US
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Telephone | 757-821-7477
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER OWNER
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Name | DOMINIQUE HAWKINS
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Credential | FNP
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Telephone | 757-821-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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