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General NPI Number Information
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NPI Number | 1740071703
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Entity Type | Organization
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Legal Business Name | ALMA WELLNESS GROUP
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 820 RIDDLEHURST AVE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0714
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Country | US
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Telephone | 757-737-5760
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Fax |
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Provider Business Mailing Address
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Address Line | 820 RIDDLEHURST AVE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0714
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Country | US
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Telephone | 757-737-5760
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LATONYA MARIE RIDDICK
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Credential | MPH, BSN, RN
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Telephone | 757-737-5760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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