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General NPI Number Information
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NPI Number | 1992649339
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Entity Type | Organization
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Legal Business Name | RESTORATION & REJUVENATION WELLNESS CENTER
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 329 OFFICE SQUARE LN STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3653
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Country | US
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Telephone | 948-210-8927
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 KATHLEEN LN
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City | CHESAPEAKE
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State | VA
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Zip | 23322-2395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFINEY THOMPSON
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Credential | DNP
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Telephone | 948-210-8927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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