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General NPI Number Information
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NPI Number | 1184676348
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Entity Type | Organization
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Legal Business Name | ISLE OF WIGHT CO BOARD OF SUPERVISORS
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17130 MONUMENT CIRCLE
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City | ISLE OF WIGHT
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State | VA
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Zip | 23397
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Country | US
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Telephone | 757-365-6307
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61549
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City | VIRGINIA BEACH
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State | VA
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Zip | 23466
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Country | US
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Telephone | 800-355-1753
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Fax | 757-557-0936
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Authorized Official
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Title or Position | COUNTY ADMINISTRATOR ISLE OF WIGHT
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Name | MR. W DOUGLAS CASKEY
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Credential |
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Telephone | 757-365-6201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1052
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License Number State | VA
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