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General NPI Number Information
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NPI Number | 1063437010
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Entity Type | Organization
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Legal Business Name | OUR LADY OF PERPETUAL HELP HEALTH CENTER, INC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4560 PRINCESS ANNE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-7905
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Country | US
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Telephone | 757-495-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 4560 PRINCESS ANNE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-7905
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Country | US
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Telephone | 757-495-4211
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LORYN DUNCAN-MARCIL
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Credential |
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Telephone | 757-495-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH2623
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License Number State | VA
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