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General NPI Number Information
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NPI Number | 1124200258
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Entity Type | Organization
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Legal Business Name | M.T. CURRY INC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 513 BAYLOR CT
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3824
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Country | US
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Telephone | 757-547-5851
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Fax | 888-371-4920
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Provider Business Mailing Address
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Address Line | 733 VOLVO PKWY SUITE 200
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1609
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Country | US
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Telephone | 757-547-5851
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Fax | 888-371-4920
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Authorized Official
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Title or Position | V.P. OPERATIONS
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Name | ERIC CURRY
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Credential |
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Telephone | 757-410-4008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 0101047699
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License Number State | VA
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