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General NPI Number Information
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NPI Number | 1467168302
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Entity Type | Organization
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Legal Business Name | PERSON 2 PERSON, LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 606 DENBIGH BLVD STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4413
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Country | US
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Telephone | 804-536-0795
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Fax | 757-833-0092
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Provider Business Mailing Address
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Address Line | 606 DENBIGH BLVD STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4413
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Country | US
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Telephone | 804-536-0795
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JERMAINE DEVON PERSON
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Credential |
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Telephone | 804-530-0795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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