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General NPI Number Information
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NPI Number | 1235115239
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF CHESAPEAKE LLC
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 844 BATTLEFIELD BLVD N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4802
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Country | US
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Telephone | 757-312-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 844 BATTLEFIELD BLVD N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4802
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Country | US
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Telephone | 757-312-6800
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Fax | 757-312-6361
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Authorized Official
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Title or Position | CEO
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Name | JULIE C CAMARDELLA
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Credential | BSN, CHCRM
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Telephone | 757-312-6250
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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 | 0220000405
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License Number State | VA
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