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General NPI Number Information
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NPI Number | 1356230353
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Entity Type | Organization
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Legal Business Name | PENUEL LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 183 BEECHMONT DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-2541
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Country | US
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Telephone | 443-857-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 183 BEECHMONT DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-2541
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Country | US
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Telephone | 443-985-5667
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Fax |
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Authorized Official
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Title or Position | DEPUTY DIRECTOR
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Name | OLUWAFEMI A OJEKUNLE
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Credential |
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Telephone | 443-985-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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