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General NPI Number Information
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NPI Number | 1922613942
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Entity Type | Organization
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Legal Business Name | ARTEMIS THERAPEUTIC CENTER LLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 1425 BATTLEFIELD BLVD N STE 2182
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City | CHESAPEAKE
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State | VA
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Zip | 23320-9998
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Country | US
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Telephone | 757-453-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 BATTLEFIELD BLVD N STE 2182
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City | CHESAPEAKE
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State | VA
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Zip | 23320-9998
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Country | US
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Telephone | 757-524-0797
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Fax |
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Authorized Official
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Title or Position | CLINICIAN/ FOUNDER
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Name | MS. NEDA SANTA LOPEZ
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Credential | LCSW, CSAC
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Telephone | 757-453-3215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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