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General NPI Number Information
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NPI Number | 1154986347
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Entity Type | Organization
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Legal Business Name | CENTER FOR VISUAL SURGICAL EXCELLENCE, LLC
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 208 CARMICHAEL WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23322
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Country | US
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Telephone | 757-908-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 208 CARMICHAEL WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23322-2183
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Country | US
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Telephone | 757-908-2177
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PAUL GRIFFEY
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Credential | MD
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Telephone | 757-908-2177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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