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NPI 1245241454

NPI 1245241454 : MICHAEL J BARNUM MD,PC : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1245241454
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAEL J BARNUM MD,PC 
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Dates
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    Enumeration Date     |    08/11/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    905 BATTLEFIELD BLVD N STE 103
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4875
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    Country              |    US
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    Telephone            |    757-819-7177
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    Fax                  |    757-819-7178
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Provider Business Mailing Address
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    Address Line         |    905 BATTLEFIELD BLVD N STE 103
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4875
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    Country              |    US
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    Telephone            |    757-819-7177
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    Fax                  |    757-819-7178
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MICHAEL J BARNUM 
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    Credential           |    MD
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    Telephone            |    757-819-7177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    VA
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