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General NPI Number Information
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NPI Number | 1639034978
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Entity Type | Individual
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Provider Name | COURTNEY ROLLICK LMT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1650 GENERAL BOOTH BLVD STE 100A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5609
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Country | US
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Telephone | 757-689-3113
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Fax | 757-689-3702
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Provider Business Mailing Address
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Address Line | 1253 NIMMO PKWY STE 110
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7782
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Country | US
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Telephone | 757-916-7761
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Fax | 757-689-3597
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019017513
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License Number State | VA
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