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General NPI Number Information
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NPI Number | 1487435376
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Entity Type | Individual
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Provider Name | TAJE USHER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1729 WILDWOOD DR STE 103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3176
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Country | US
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Telephone | 757-938-3654
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Fax | 757-938-3658
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Provider Business Mailing Address
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Address Line | 3999 MARINA LAKE RD APT 107
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-2027
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Country | US
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Telephone | 585-490-7936
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0024188699
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 0024188699
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024188699
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License Number State | VA
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