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General NPI Number Information
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NPI Number | 1144403262
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Entity Type | Organization
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Legal Business Name | KIRVEN ORTHOPEDIC GROUP, P.C.
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 5701 CLEVELAND STREET, SUITE 600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-963-6507
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Fax | 757-963-6375
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Provider Business Mailing Address
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Address Line | 5701 CLEVELAND STREET, SUITE 600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-963-6507
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Fax | 757-963-6375
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Authorized Official
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Title or Position | PRESIDENT
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Name | FELIX MOSES KIRVEN
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Credential | M.D.
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Telephone | 757-963-6507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 0101054245
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License Number State | VA
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