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General NPI Number Information
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NPI Number | 1306703830
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Entity Type | Organization
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Legal Business Name | CHILDRENS PHYSICIAN GROUP INC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1005 COMMERCIAL LN STE 220
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City | SUFFOLK
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State | VA
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Zip | 23434-8149
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Country | US
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Telephone | 757-668-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 601 CHILDRENS LN
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City | NORFOLK
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State | VA
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Zip | 23507-1910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VP/CFO
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Name | KATHRYN ABSHIRE
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Credential |
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Telephone | 757-668-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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