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General NPI Number Information
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NPI Number | 1609601160
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Entity Type | Individual
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Provider Name | TORRIE NICOLE TAFT CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 817 VOLVO PKWY
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2855
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Country | US
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Telephone | 757-668-4630
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 OYSTER SHELL LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5454
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Country | US
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Telephone | 757-412-9402
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024191100
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License Number State | VA
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