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General NPI Number Information
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NPI Number | 1336067552
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Entity Type | Individual
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Provider Name | BREAH HARRISON
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 192 BALLARD CT STE 105
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6538
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Country | US
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Telephone | 757-904-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 5062 HAWKINS MILL WAY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-3897
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Country | US
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Telephone | 757-276-3253
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0906016622
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License Number State | VA
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