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General NPI Number Information
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NPI Number | 1003937822
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Entity Type | Organization
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Legal Business Name | VIRGINIA MEDICAL SPECIALIST, PLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 816 INDEPENDENCE BLVD STE 3C
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6010
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Country | US
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Telephone | 757-363-8838
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Fax | 757-363-2801
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Provider Business Mailing Address
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Address Line | 816 INDEPENDENCE BLVD SUITE 3C
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6010
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Country | US
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Telephone | 757-363-8838
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Fax | 757-363-2801
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | ANIL N PATEL
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Credential | MD
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Telephone | 757-363-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101042140
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License Number State | VA
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