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General NPI Number Information
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NPI Number | 1396348413
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Entity Type | Individual
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Provider Name | DELOIS CHAVIS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 3345 VIRGINIA BEACH BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5616
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Country | US
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Telephone | 757-631-0709
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 MILL POINT CT
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City | SUFFOLK
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State | VA
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Zip | 23434-2324
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202012940
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License Number State | VA
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