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General NPI Number Information
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NPI Number | 1811006042
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGY ASSOCIATES OF HAMPTON ROADS, P.C.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 78 LAKESIDE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3716
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Country | US
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Telephone | 757-873-8345
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Fax | 757-873-1073
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Provider Business Mailing Address
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Address Line | PO BOX 1126
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-0126
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Country | US
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Telephone | 757-873-8345
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LYNN WARNER
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Credential | PH.D.
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Telephone | 757-873-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 0810001729
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License Number State | VA
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