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General NPI Number Information
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NPI Number | 1225282569
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Entity Type | Organization
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Legal Business Name | EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 5900 LAKE WRIGHT DR STE B
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City | NORFOLK
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State | VA
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Zip | 23502-1871
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Country | US
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Telephone | 757-213-5770
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Fax | 757-627-0334
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | NORFOLK
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State | VA
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Zip | 23501-0936
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Country | US
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Telephone | 757-451-6200
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Fax | 757-451-6251
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Authorized Official
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Title or Position | CEO
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Name | JAMES F LIND JR.
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Credential |
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Telephone | 757-451-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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