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General NPI Number Information
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NPI Number | 1619815602
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Entity Type | Organization
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Legal Business Name | TRANQUIL INTERVENTIONS, PC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 4021 UNIVERSITY DR
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City | FAIRFAX
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State | VA
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Zip | 22030-3408
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Country | US
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Telephone | 443-231-8405
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Fax |
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Provider Business Mailing Address
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Address Line | 440 MONTICELLO AVE STE 1802
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City | NORFOLK
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State | VA
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Zip | 23510-2670
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Country | US
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Telephone | 443-231-8405
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL POPOKO
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Credential |
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Telephone | 443-231-8405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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