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General NPI Number Information
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NPI Number | 1013281724
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Entity Type | Organization
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Legal Business Name | NMCP
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 2545 BELMONT STAKES DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-8130
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Country | US
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Telephone | 757-615-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 2545 BELMONT STAKES DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-8130
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Country | US
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Telephone | 757-615-1774
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Fax |
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Authorized Official
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Title or Position | DIVISION OFFICER/PEDS/PICU
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Name | MR. ALVIN GERARD GARCIA
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Credential | PNP
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Telephone | 757-953-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State | VA
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