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General NPI Number Information
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NPI Number | 1376930685
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Entity Type | Organization
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Legal Business Name | TMS NEUROHEALTH CENTERS VIRGINIA BEACH, LLC
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 770 LYNNHAVEN PKWY SUITE 240
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7324
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Country | US
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Telephone | 757-355-6495
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Fax | 757-216-1124
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Provider Business Mailing Address
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Address Line | 770 LYNNHAVEN PKWY SUITE 240
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7324
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Country | US
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Telephone | 757-355-6495
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Fax | 757-216-1124
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | BRYCE NEUMANN
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Credential |
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Telephone | 757-355-6495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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