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General NPI Number Information
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NPI Number | 1588328009
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND THERAPEUTIC SOULUTIONS
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Dates
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Enumeration Date | 10/30/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 700 E MAIN ST STE 2487
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City | RICHMOND
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State | VA
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Zip | 23219-2619
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Country | US
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Telephone | 757-373-7471
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E MAIN ST STE 2487
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City | RICHMOND
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State | VA
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Zip | 23219-2619
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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 | NP
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Name | TIFFANY DAVIS
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Credential |
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Telephone | 757-995-4022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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