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General NPI Number Information
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NPI Number | 1770479750
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Entity Type | Organization
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Legal Business Name | INTEGRITY SKIN & DERMCARE LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2041 FISHER ARCH SUITE 110
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456
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Country | US
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Telephone | 757-270-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 2041 FISHER ARCH SUITE 110
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, PROVIDER
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Name | THERESA C TALENS
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Credential | NP
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Telephone | 757-270-4074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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