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General NPI Number Information
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NPI Number | 1477178218
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND THERAPEUTIC SOLUTIONS
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 355 CRAWFORD ST
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2816
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Country | US
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Telephone | 757-232-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 417 SYCAMORE RD
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City | PORTSMOUTH
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State | VA
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Zip | 23707-1218
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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 | OFFICE MANAGER
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Name | KEENA ANDREWS
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Credential |
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Telephone | 757-327-2085
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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
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License Number |
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License Number State |
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