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General NPI Number Information
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NPI Number | 1467266262
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Entity Type | Organization
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Legal Business Name | RESILIENCE MED-PSYCH
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 7319 MARTIN ST STE 3
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City | GLOUCESTER
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State | VA
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Zip | 23061-5358
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Country | US
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Telephone | 757-726-7791
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Fax | 757-387-1599
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Provider Business Mailing Address
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Address Line | 11 IVORY GULL CRES
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City | HAMPTON
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State | VA
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Zip | 23664-1553
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Country | US
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Telephone | 757-726-7791
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Fax | 757-387-1599
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Authorized Official
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Title or Position | OWNER
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Name | MR. BARNEY BRYANT PARSON IV
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Credential | NP
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Telephone | 757-726-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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