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General NPI Number Information
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NPI Number | 1740874932
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Entity Type | Organization
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Legal Business Name | TEASHIA DUNN, P.C.
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Dates
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Enumeration Date | 02/27/2021
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 6330 NEWTOWN RD STE 250
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City | NORFOLK
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State | VA
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Zip | 23502-4802
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Country | US
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Telephone | 757-504-0247
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 LECKIE ST
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City | PORTSMOUTH
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State | VA
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Zip | 23704-1718
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Country | US
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Telephone | 843-263-8497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEASHIA ROESKE
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Credential | NP
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Telephone | 757-504-0247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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