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NPI 1285080622

NPI 1285080622 : SENTARA PRINCESS ANNE HOSPITAL : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1285080622
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    Entity Type          |    Organization 
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    Legal Business Name  |    SENTARA PRINCESS ANNE HOSPITAL 
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Dates
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    Enumeration Date     |    05/04/2016
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    2025 GLENN MITCHELL DR 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23456-0178
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    Country              |    US
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    Telephone            |    757-507-2740
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    Fax                  |    757-716-3978
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Provider Business Mailing Address
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    Address Line         |    2025 GLENN MITCHELL DR 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23456-0178
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    Country              |    US
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    Telephone            |    757-507-2740
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    Fax                  |    757-716-3978
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     MELINDA SUMMERLIN HANCOCK 
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    Credential           |    
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    Telephone            |    757-455-7458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0404X
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    Taxonomy Name        |    Cardiac Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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