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General NPI Number Information
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NPI Number | 1780773507
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Entity Type | Individual
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Provider Name | LAURA ANN HERMIZ L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 6330 NEWTOWN RD STE 300
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City | NORFOLK
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State | VA
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Zip | 23502-4805
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Country | US
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Telephone | 757-466-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 EXECUTIVE DR STE C
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City | HAMPTON
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State | VA
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Zip | 23666-6604
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Country | US
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Telephone | 757-827-7707
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000463
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701001883
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License Number State | VA
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