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General NPI Number Information
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NPI Number | 1376487439
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MEDICINE LLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1004 FIRST COLONIAL RD STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3070
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Country | US
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Telephone | 757-792-7150
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Fax | 757-765-6027
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Provider Business Mailing Address
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Address Line | 1004 FIRST COLONIAL RD STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3070
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Country | US
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Telephone | 757-792-7150
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Fax | 757-765-6027
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MICHEL G MOREAU
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Credential | MD
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Telephone | 757-792-7150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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