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General NPI Number Information
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NPI Number | 1922961556
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Entity Type | Organization
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Legal Business Name | KURERE.CO WELLNESS & MEDSPA LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 522 S INDEPENDENCE BLVD STE 104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1149
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Country | US
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Telephone | 757-589-6870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | CHAMPLAIN
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State | VA
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Zip | 22438-0162
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Country | US
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Telephone | 757-589-6870
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DORIS BEVERLY WALTERS
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Credential | RN
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Telephone | 757-589-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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