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General NPI Number Information
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NPI Number | 1003265075
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 229 CLEARFIELD AVE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1815
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Country | US
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Telephone | 757-312-6300
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Fax | 757-312-6306
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Provider Business Mailing Address
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Address Line | 229 CLEARFIELD AVE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1815
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Country | US
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Telephone | 757-312-6300
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Fax | 757-312-6306
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Authorized Official
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Title or Position | DIRECTOR OF PAYOR CONTRACTING
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Name | TIMOTHY PAUL GARRETT
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Credential |
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Telephone | 757-312-6482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H1841
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License Number State | VA
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