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General NPI Number Information
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NPI Number | 1548000680
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Entity Type | Individual
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Provider Name | TABITHA HAPEMAN
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Gender | Female
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 6340 CENTER DR STE 100
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City | NORFOLK
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State | VA
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Zip | 23502-0008
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Country | US
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Telephone | 703-466-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 2912 EVERGREEN CT
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City | CHESAPEAKE
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State | VA
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Zip | 23321-4209
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Country | US
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Telephone | 570-905-2951
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024190665
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 0001234491
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License Number State | VA
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