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General NPI Number Information
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NPI Number | 1427763358
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Entity Type | Organization
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Legal Business Name | INVIGORATE HEALTH, LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 612 QUEENS CREEK RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5733
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Country | US
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Telephone | 757-604-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 612 QUEENS CREEK RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5733
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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 | OWNER/OPERATOR/PROVIDER
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Name | MRS. KIMBERLY ESCALERA
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Credential | MSN, FNP-C
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Telephone | 757-604-7566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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