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General NPI Number Information
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NPI Number | 1356432801
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Entity Type | Organization
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Legal Business Name | HAMPTON MENTAL HEALTH ASSOCIATES, INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2112 HARTFORD RD
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City | HAMPTON
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State | VA
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Zip | 23666-2409
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Country | US
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Telephone | 757-826-7516
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Fax | 757-826-6232
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Provider Business Mailing Address
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Address Line | 2112 HARTFORD RD
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City | HAMPTON
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State | VA
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Zip | 23666-2409
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Country | US
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Telephone | 757-826-7516
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Fax | 757-224-3387
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRINA DIANE RUPLE
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Credential |
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Telephone | 757-826-7516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 276
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License Number State | VA
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