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General NPI Number Information
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NPI Number | 1043549561
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Entity Type | Organization
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Legal Business Name | HAMPTON ROADS HOSPITALIST GROUP
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 3636 HIGH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3236
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Country | US
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Telephone | 757-535-3696
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Fax | 757-622-4585
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Provider Business Mailing Address
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Address Line | 911 BOTETOURT GDNS
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City | NORFOLK
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State | VA
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Zip | 23507-1816
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Country | US
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Telephone | 757-535-3696
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Fax | 757-842-6364
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DR. VIKAS THAKRAL
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Credential | MD
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Telephone | 571-230-7152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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