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General NPI Number Information
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NPI Number | 1184944951
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Entity Type | Organization
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Legal Business Name | MAUREEN R. CHEVALIER-SEAWELL, MD, PC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 801 W LITTLE CREEK RD SUITE #104
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City | NORFOLK
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State | VA
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Zip | 23505-2036
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Country | US
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Telephone | 757-423-6000
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Fax | 757-423-0633
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Provider Business Mailing Address
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Address Line | 801 W LITTLE CREEK RD SUITE #104
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City | NORFOLK
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State | VA
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Zip | 23505-2036
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Country | US
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Telephone | 757-423-6000
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Fax | 757-423-0633
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. INGRID CHEVALIER REED
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Credential |
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Telephone | 757-423-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101033263
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License Number State | VA
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