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General NPI Number Information
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NPI Number | 1629985908
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Entity Type | Organization
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Legal Business Name | ACCESS RESTORATION CREATIVE CENTER
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 47 W QUEENS WAY STE G
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City | HAMPTON
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State | VA
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Zip | 23669-4075
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Country | US
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Telephone | 757-310-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 47 W QUEENS WAY STE G
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City | HAMPTON
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State | VA
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Zip | 23669-4075
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Country | US
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Telephone | 757-310-9912
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TARRANCE ERICCO LEAPHART
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Credential | OWNER
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Telephone | 757-310-9912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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