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General NPI Number Information
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NPI Number | 1598489403
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Entity Type | Organization
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Legal Business Name | A & M DEFINING LIFE'S PURPOSE LLC
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 11028 WARWICK BLVD STE D
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3253
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Country | US
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Telephone | 757-208-5415
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Fax | 757-282-2664
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Provider Business Mailing Address
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Address Line | 681 TRAILS LN
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-8251
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Country | US
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Telephone | 757-208-5415
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Fax | 757-282-2664
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MONIQUE S FIELDS-LANKFORD
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Credential |
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Telephone | 757-937-9449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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