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General NPI Number Information
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NPI Number | 1508894601
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Entity Type | Individual
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Provider Name | TERRY JAMES GINGRAS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 710 DENBIGH BLVD SUITE 6B
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone | 757-833-7107
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Fax | 757-833-7109
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Provider Business Mailing Address
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Address Line | 710 DENBIGH BLVD SUITE 6B
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone | 757-833-7107
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Fax | 757-833-7109
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 0810001800
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810001800
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License Number State | VA
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