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NPI 1417757816

NPI 1417757816 : MIRIAM ASHLEY HUNT PMHNP-BC : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1417757816
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    Entity Type          |    Individual 
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    Provider Name        |    MIRIAM ASHLEY HUNT PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2025
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    638 INDEPENDENCE PKWY STE 240 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-5222
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    Country              |    US
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    Telephone            |    757-965-5886
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2202 EXECUTIVE DR STE C 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23666-6604
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    Country              |    US
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    Telephone            |    757-827-7707
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    0024192947
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    License Number State |    VA
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