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General NPI Number Information
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NPI Number | 1144295387
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Entity Type | Organization
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Legal Business Name | NAVY MEDICAL CENTER PORTSMOUTH
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | NMCP ORTHOPAEDIC DEPARTMENT 620 JOHN PAUL JONES CIRCLE
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 757-953-1814
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 CAYMUS CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-1374
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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 | ORTHOPAEDIC SURGERY RESIDENT
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Name | DR. STEPHEN C. BRAWLEY
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Credential | M.D.
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Telephone | 757-953-1814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0101231587
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License Number State | VA
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