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General NPI Number Information
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NPI Number | 1285922260
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Entity Type | Individual
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Provider Name | SUSAN B. GIROIS M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 3960 TURNPIKE ROAD JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC
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City | PORTSMOUTH
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State | VA
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Zip | 23701
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Country | US
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Telephone | 757-393-1136
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Fax | 757-282-7600
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Provider Business Mailing Address
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Address Line | 4014 CONNECTION POINT BLVD. SUITE C
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City | CHARLOTTE
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State | NC
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Zip | 28212
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Country | US
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Telephone | 704-343-8282
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S5904
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2019-02878
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101249567
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License Number State | VA
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