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General NPI Number Information
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NPI Number | 1538775697
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ANDERSON FNP LLC
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 1540 BREEZEPORT WAY STE 600
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City | SUFFOLK
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State | VA
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Zip | 23435-3755
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Country | US
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Telephone | 757-967-0810
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Fax | 757-967-0811
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Provider Business Mailing Address
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Address Line | 1540 BREEZEPORT WAY STE 600
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City | SUFFOLK
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State | VA
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Zip | 23435-3755
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Country | US
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Telephone | 757-967-0810
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Fax | 757-967-0811
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Authorized Official
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Title or Position | CONSULTANT/OWNER
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Name | MRS. TALISHA ANDERSON CHEEKS
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Credential | NURSE PRACTITIONER
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Telephone | 757-773-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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