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General NPI Number Information
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NPI Number | 1992323562
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Entity Type | Organization
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Legal Business Name | MANA PSYCHIATRY AND WELLNESS, LLC
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 1 COLUMBUS CTR STE 600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6760
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Country | US
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Telephone | 757-330-5742
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Fax | 757-500-0141
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Provider Business Mailing Address
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Address Line | 1 COLUMBUS CTR STE 600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6760
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Country | US
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Telephone | 757-330-5742
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Fax | 757-500-0141
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MS. ANNE MARIE SEDA
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Credential | MS, PMHNP-BC
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Telephone | 757-330-5742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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