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General NPI Number Information
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NPI Number | 1396772497
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Entity Type | Individual
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Provider Name | NELSON G. MONROY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 4099 FOXWOOD DR SUITE 203
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5222
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Country | US
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Telephone | 888-695-9740
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Fax | 888-695-9760
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Provider Business Mailing Address
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Address Line | 4099 FOXWOOD DR SUITE 203
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5222
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Country | US
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Telephone | 888-695-9740
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Fax | 888-695-9760
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101231947
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License Number State | VA
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