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General NPI Number Information
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NPI Number | 1043356454
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Entity Type | Organization
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Legal Business Name | WESTMINSTER-CANTERBURY OF HAMPTON ROADS, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 7211 GRANBY ST
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City | NORFOLK
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State | VA
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Zip | 23505-4001
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Country | US
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Telephone | 757-440-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 SHORE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1199
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Country | US
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Telephone | 757-496-1100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. J. BENJAMIN UNKLE JR.
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Credential |
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Telephone | 757-496-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ELO2006315
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License Number State | VA
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