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NPI 1427733666

NPI 1427733666 : 7TH HEAVEN MEDICX LLC : NORFOLK, VA

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General NPI Number Information
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    NPI Number           |    1427733666
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    Entity Type          |    Organization 
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    Legal Business Name  |    7TH HEAVEN MEDICX LLC 
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Dates
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    Enumeration Date     |    06/15/2023
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    Last Update Date     |    06/15/2023
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Provider Practice Location Address
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    Address Line         |    1035 W 25TH ST STE D6-A 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23517-1000
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    Country              |    US
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    Telephone            |    800-298-8618
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    Fax                  |    757-324-5626
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Provider Business Mailing Address
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    Address Line         |    827 HARRINGTON AVE 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23517-1509
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    Country              |    US
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    Telephone            |    757-777-4153
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    Fax                  |    757-324-5626
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CAROLYN  DAVIS 
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    Credential           |    
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    Telephone            |    800-298-8618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    344600000X
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    Taxonomy Name        |    Taxi
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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        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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