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General NPI Number Information
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NPI Number | 1831018282
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Entity Type | Organization
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Legal Business Name | B W INNOVATIVE AFFILIATE SOLUTIONS
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 359 LAUREL DRIVE
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City | AYLETT
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State | VA
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Zip | 23009
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Country | US
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Telephone | 804-258-1300
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Fax | 804-259-1307
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Provider Business Mailing Address
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Address Line | 6841 FOREST HILL AVE # 455
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City | RICHMOND
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State | VA
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Zip | 23225-1603
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Country | US
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Telephone | 804-258-1300
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Fax | 804-259-1307
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Authorized Official
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Title or Position | CEO/OWNER
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Name | BRITTEN WHITE
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Credential | DNP, FNP-C, PMHNP-BC
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Telephone | 804-258-1300
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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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