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General NPI Number Information
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NPI Number | 1053362996
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Entity Type | Organization
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Legal Business Name | VIRGINIA BEACH DEPARTMENT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 4452 CORPORATION LN PEMBROKE CORPORATE CENTER III
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3173
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Country | US
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Telephone | 757-518-2660
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Fax | 757-518-2645
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Provider Business Mailing Address
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Address Line | 4452 CORPORATION LN PEMBROKE CORPORATE CENTER III
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3173
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Country | US
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Telephone | 757-518-2660
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Fax | 757-518-2645
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | DR. HEIDI A. KULBERG
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Credential | M.D., MPH
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Telephone | 757-518-2630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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