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General NPI Number Information
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NPI Number | 1700722048
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Entity Type | Organization
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Legal Business Name | A PLACE CALLED BOUNTIFUL
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 9005 CRABAPPLE ST
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City | PORTSMOUTH
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State | VA
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Zip | 23704-4128
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Country | US
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Telephone | 757-298-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 9005 CRABAPPLE ST
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City | PORTSMOUTH
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State | VA
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Zip | 23704-4128
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Country | US
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Telephone | 757-298-8829
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TONYA MARIE JONES
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Credential |
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Telephone | 757-298-8829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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