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General NPI Number Information
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NPI Number | 1376540138
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Entity Type | Organization
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Legal Business Name | SENTARA HOSPITALS
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 2800 GODWIN BLVD
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City | SUFFOLK
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State | VA
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Zip | 23434-8038
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Country | US
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Telephone | 757-934-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 6015 POPLAR HALL DR SUITE 200
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City | NORFOLK
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State | VA
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Zip | 23502-3819
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Country | US
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Telephone | 757-455-7102
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Fax | 757-455-7919
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Authorized Official
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Title or Position | CFO, SH
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Name | MR. ROBERT A. BROERMANN
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Credential |
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Telephone | 757-455-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H1869
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License Number State | VA
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