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General NPI Number Information
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NPI Number | 1679279046
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Entity Type | Organization
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Legal Business Name | FISHING POINT HEALTH CARE LLC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2929 LONDON BLVD
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3405
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Country | US
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Telephone | 757-255-9317
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E MAIN ST STE 1300
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City | NORFOLK
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State | VA
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Zip | 23510-2206
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Country | US
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Telephone | 757-861-9010
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Fax |
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Authorized Official
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Title or Position | CREDENTIALLING MANAGER
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Name | SUZZI WILLIAMS
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Credential |
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Telephone | 801-949-4021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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