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General NPI Number Information
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NPI Number | 1376292334
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Entity Type | Organization
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Legal Business Name | KEMPSVILLE BEHAVIORAL HEALTH PHARMACY
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 860 KEMPSVILLE RD
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City | NORFOLK
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State | VA
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Zip | 23502
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Country | US
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Telephone | 757-455-0325
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Fax | 757-455-0301
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Provider Business Mailing Address
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Address Line | 860 KEMPSVILLE RD
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City | NORFOLK
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State | VA
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Zip | 23502
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Country | US
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Telephone | 757-455-0325
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Fax | 757-455-0301
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-382-3319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0200X
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Taxonomy Name | Pediatric Pharmacist
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License Number |
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License Number State |
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