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General NPI Number Information
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NPI Number | 1417145210
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Entity Type | Organization
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Legal Business Name | CHIPPENHAM HOSPITAL
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Dates
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Enumeration Date | 10/06/2007
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Last Update Date | 10/06/2007
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Provider Practice Location Address
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Address Line | 7101 JAHNKE RD
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City | RICHMOND
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State | VA
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Zip | 23225-4017
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Country | US
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Telephone | 804-323-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 1537 OAKLAND CHASE PKWY
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City | RICHMOND
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State | VA
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Zip | 23231-5745
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Country | US
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Telephone | 804-222-0202
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MRS. CHARLENE SUZETTE GRANT
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Credential | RN
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Telephone | 804-222-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0001194628
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License Number State | VA
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