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General NPI Number Information
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NPI Number | 1780740811
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Entity Type | Organization
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Legal Business Name | TRANSPERSONAL HEALING CONCEPTS
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 485 S INDEPENDENCE BLVD STE 111
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1129
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Country | US
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Telephone | 757-216-8097
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Fax | 757-216-8097
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Provider Business Mailing Address
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Address Line | 485 S INDEPENDENCE BLVD STE 111
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1129
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Country | US
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Telephone | 757-216-8097
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Fax | 757-216-8101
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARISSE BARKSDALE
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Credential | D.SC. DNM
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Telephone | 757-216-8097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 2006210163R
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License Number State | VA
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