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General NPI Number Information
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NPI Number | 1790506442
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Entity Type | Organization
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Legal Business Name | BLACK HIBISCUS INTEGRATIVE HEALTH
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4663 HAYGOOD RD STE 203
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5442
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Country | US
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Telephone | 757-917-8841
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Fax |
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Provider Business Mailing Address
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Address Line | 6470 CRESCENT WAY APT 301
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City | NORFOLK
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State | VA
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Zip | 23513-1434
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Country | US
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Telephone | 347-926-3188
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERNICA ANDERSON
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Credential | NP
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Telephone | 347-926-3188
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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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Taxonomy #2
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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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