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General NPI Number Information
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NPI Number | 1417846064
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Entity Type | Organization
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Legal Business Name | HEAL & RISE LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 4528 INDIANA AVE
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2713
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Country | US
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Telephone | 757-381-6625
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Fax |
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Provider Business Mailing Address
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Address Line | 4528 INDIANA AVE
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2713
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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 | CEO
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Name | KEEDAIJAH LAHY
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Credential |
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Telephone | 757-381-6625
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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 |
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License Number State |
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