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General NPI Number Information
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NPI Number | 1346175916
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Entity Type | Organization
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Legal Business Name | PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 1033 28TH ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4233
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Country | US
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Telephone | 757-223-7016
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Fax |
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Provider Business Mailing Address
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Address Line | 9294 WARWICK BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-1535
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Country | US
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Telephone | 757-223-7016
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Fax | 757-223-0839
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Authorized Official
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Title or Position | COO
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Name | RAVONDA CYPRESS
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Credential |
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Telephone | 757-223-7016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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