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General NPI Number Information
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NPI Number | 1821957093
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Entity Type | Individual
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Provider Name | DAKARIE AMON PURNELL
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 2158 NEWTON RD
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City | HAMPTON
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State | VA
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Zip | 23663-1048
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Country | US
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Telephone | 252-690-1254
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Fax | 252-690-1254
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Provider Business Mailing Address
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Address Line | 2158 NEWTON RD
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City | HAMPTON
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State | VA
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Zip | 23663-1048
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Country | US
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Telephone | 252-690-1254
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Fax | 252-690-1254
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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