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General NPI Number Information
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NPI Number | 1033288790
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Entity Type | Organization
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Legal Business Name | NORFOLK FOOT AND ANKLE GROUP PC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 4224 HOLLAND RD SUITE 106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1900
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Country | US
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Telephone | 757-498-0202
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Fax | 757-498-7936
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Provider Business Mailing Address
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Address Line | 4224 HOLLAND RD SUITE 106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1900
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Country | US
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Telephone | 757-498-0202
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Fax | 757-498-7936
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CYNTHIA LYNNE CALLOWAY
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Credential |
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Telephone | 757-228-3735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | VA0103000437
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License Number State | VA
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