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General NPI Number Information
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NPI Number | 1326622747
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Entity Type | Organization
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Legal Business Name | THE NEW HOPE CENTER FOR REPRODUCTIVE MEDICINE
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 448 VIKING DR STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7331
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Country | US
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Telephone | 757-496-5370
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Fax | 757-481-3354
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Provider Business Mailing Address
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Address Line | 448 VIKING DR STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7331
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Country | US
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Telephone | 757-496-5370
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Fax | 757-481-3354
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Authorized Official
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Title or Position | CONSULTANT
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Name | LINDA DIANE FREDERICK
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Credential |
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Telephone | 757-581-0506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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