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General NPI Number Information
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NPI Number | 1063731313
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Entity Type | Organization
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Legal Business Name | SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF VIRGINIA, INC
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 4600 SPOTSYLVANIA PARKWAY
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-7762
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Country | US
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Telephone | 540-834-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452409
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City | SUNRISE
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State | FL
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Zip | 33345-2409
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT COWARD
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Credential |
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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