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General NPI Number Information
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NPI Number | 1255215133
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE REGIONAL MEDICAL GROUP
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1034 BATTLEFIELD BLVD S STE 100
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4215
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Country | US
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Telephone | 757-312-2299
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Fax | 757-312-2256
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Provider Business Mailing Address
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Address Line | 667 KINGSBOROUGH SQ STE 101
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4999
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Country | US
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Telephone | 757-842-4481
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY KINGERY
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Credential |
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Telephone | 757-312-5166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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