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General NPI Number Information
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NPI Number | 1154380665
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Entity Type | Individual
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Provider Name | LOREEN A. PAIVA R.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 EMANCIPATION DR VETERANS AFFAIRS MEDICAL CENTER
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City | HAMPTON
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State | VA
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Zip | 23667-0001
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Country | US
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Telephone | 757-722-9961
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Fax | 757-728-3468
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Provider Business Mailing Address
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Address Line | 7444 LAFAYETTE HEIGHTS DR
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City | GLOUCESTER POINT
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State | VA
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Zip | 23062-2600
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Country | US
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Telephone | 804-684-5424
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 608417
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License Number State | KY
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