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General NPI Number Information
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NPI Number | 1124122619
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Entity Type | Organization
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Legal Business Name | NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC.
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 955 HARPERSVILLE RD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1085
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Country | US
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Telephone | 757-223-7642
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Fax | 757-223-1680
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Provider Business Mailing Address
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Address Line | 955 HARPERSVILLE RD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1085
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Country | US
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Telephone | 757-223-7642
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Fax | 757-223-1680
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MRS. SHARI STILLEY
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Credential |
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Telephone | 757-223-1642
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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 | NH 2637
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License Number State | VA
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