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General NPI Number Information
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NPI Number | 1952115933
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Entity Type | Individual
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Provider Name | CASSANDRA LYNN BOZARD MSN,APRN,PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 555 BELAIRE AVE STE 210
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4783
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Country | US
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Telephone | 757-260-9273
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Fax | 757-207-9195
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Provider Business Mailing Address
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Address Line | 1717 MILL LANDING RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23457-1442
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Country | US
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Telephone | 757-503-5122
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Fax | 757-207-9195
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024192158
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License Number State | VA
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