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General NPI Number Information
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NPI Number | 1710743521
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Entity Type | Organization
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Legal Business Name | BRIGHT SHADOWS TELEPSYCHIATRY SERVICES, PLLC
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 4410 CLAIBORNE SQ E
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City | HAMPTON
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State | VA
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Zip | 23666-2071
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Country | US
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Telephone | 252-751-5103
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Fax | 252-751-5127
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Provider Business Mailing Address
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Address Line | PO BOX 9244
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City | HAMPTON
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State | VA
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Zip | 23670-0244
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Country | US
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Telephone | 252-751-5103
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONDESHYA KEYONNA COSBY
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Credential | NP
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Telephone | 252-751-5103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 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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