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General NPI Number Information
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NPI Number | 1285768465
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Entity Type | Organization
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Legal Business Name | VIRGINIA MEDICAL SPECIALISTS, PLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 1008 FIRST COLONIAL RD STE 103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3071
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Country | US
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Telephone | 757-481-2515
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 FIRST COLONIAL RD STE 103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3071
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Country | US
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Telephone | 757-481-2515
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | WILLIAM R COOPER
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Credential | MD
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Telephone | 757-481-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | VA
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