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General NPI Number Information
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NPI Number | 1477485548
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Entity Type | Organization
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Legal Business Name | CAS OUTPATIENT DIVISION LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1776 CAMBRIDGE DR
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City | RICHMOND
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State | VA
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Zip | 23238-3203
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Country | US
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Telephone | 757-276-5022
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Fax | 757-819-4995
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Provider Business Mailing Address
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Address Line | 105 WATCH HARBOUR CT
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City | SUFFOLK
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State | VA
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Zip | 23435-3179
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Country | US
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Telephone | 757-582-1629
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Fax | 757-819-4995
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. VICTOR PIERRE CLARK
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Credential | MD
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Telephone | 757-582-1629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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