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General NPI Number Information
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NPI Number | 1477068328
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 243 MCLAWS CIR STE 101
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5673
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Country | US
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Telephone | 757-324-5674
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2546
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City | VIRGINIA BEACH
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State | VA
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Zip | 23450-2546
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Country | US
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Telephone | 757-324-5674
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHAWN L JONES
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Credential |
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Telephone | 757-324-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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