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General NPI Number Information
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NPI Number | 1154591147
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Entity Type | Organization
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Legal Business Name | NEW HEALTH LLC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 1210 PROGRESSIVE DR SUITE 100
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2849
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Country | US
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Telephone | 757-819-6940
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 PROGRESSIVE DR SUITE 100
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2849
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Country | US
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Telephone | 757-819-6940
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VALERIE L GRAY
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Credential | DC
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Telephone | 757-819-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556093
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License Number State | VA
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