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General NPI Number Information
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NPI Number | 1285436352
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Entity Type | Organization
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Legal Business Name | IVQ CHESAPEAKE OPCO LP
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 130 GREAT BRIDGE BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3902
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Country | US
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Telephone | 757-436-2109
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Fax | 757-436-2565
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Provider Business Mailing Address
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Address Line | 130 GREAT BRIDGE BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3902
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Country | US
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Telephone | 757-436-2109
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Fax | 757-436-2565
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | JESSICA ADRIENNE MILLER
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Credential |
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Telephone | 201-388-4784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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