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General NPI Number Information
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NPI Number | 1881588135
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Entity Type | Individual
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Provider Name | TARA LYNN MCCURDY SA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 830 KEMPSVILLE RD
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City | NORFOLK
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State | VA
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Zip | 23502-3920
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Country | US
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Telephone | 757-261-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1372 SIERRA DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-2220
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Country | US
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Telephone | 757-779-1941
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 0136001053
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License Number State | VA
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