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General NPI Number Information
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NPI Number | 1386598944
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Entity Type | Individual
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Provider Name | JAQUITA BRITTANY FORD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 621 W 26TH ST
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City | NORFOLK
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State | VA
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Zip | 23517-1215
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Country | US
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Telephone | 757-782-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 621 W 26TH ST
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City | NORFOLK
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State | VA
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Zip | 23517-1215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 11844161
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License Number State | VA
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