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General NPI Number Information
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NPI Number | 1073650099
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Entity Type | Organization
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Legal Business Name | CITY OF CHESAPEAKE
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 224 GREAT BRIDGE BLVD CHESAPEAKE COMMUNITY SERVICES BOARD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3904
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Country | US
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Telephone | 757-547-9334
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Fax | 757-819-6292
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Provider Business Mailing Address
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Address Line | 224 GREAT BRIDGE BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3904
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Country | US
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Telephone | 757-547-9334
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Fax | 757-819-6292
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Authorized Official
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Title or Position | FISCAL ADMINISTRATOR
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Name | LISA A VANLANDINGHAM
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Credential | CPA, MBA
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Telephone | 757-547-9334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 141
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 141 16 001
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License Number State | VA
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