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General NPI Number Information
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NPI Number | 1467556043
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALTH AND CANCER PREVENTION PC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1301 FIRST COLONIAL RD SUITE 201
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2263
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Country | US
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Telephone | 757-412-4919
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Fax | 757-412-4898
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Provider Business Mailing Address
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Address Line | 1301 FIRST COLONIAL RD SUITE 201
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2263
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Country | US
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Telephone | 757-412-4919
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Fax | 757-412-4898
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Authorized Official
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Title or Position | CEO
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Name | DR. KEITH EDWARD BERGER
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Credential | M.D.
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Telephone | 757-412-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101032987
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License Number State | VA
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